HomeMy WebLinkAbout512 E. 3rd Street Address:
rdStreet
5- 1 'P- c- 7 5�
PREPARED 9/15/14, 12:51:25 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/15/14
------------------------------------------------------------------------------------------------
ADDRESS . : 512 E 3RD ST SUBDIV:
CONTRACTOR WILL DO PLUMBING INC PHONE (360) 457-0341
OWNER RANDALL B AND DEANA M VOLKER PHONE (619) 920-9244
PARCEL 06-30-00-5-2-6522-0000-
APPL NUMBER: 14-00001035 PLUMBING PERMIT
------------------------------------------------------------------------------------------------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
---------------------- ---------------------------------------------------------------------
PL99 01 9/15/14 PLUMBING FINAL
September 12, 2014 12:22:41 PM pbarthol.
Dena 619-920-9244
---------------------- ----------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT-BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 14-00001035 Date 8/28/14
Application pin number . . . 256225
Property Address . . . . . . 512 E 3RD ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-2-6522-0000- REPORT SALES TAX
Application type description PLUMBING PERMIT on your state excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 1000
----------------------------------------------------------------------------
Application desc
RE PLUMB MAIN STRUCTURE
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
RANDALL B AND DEANA M VOLKER WILL DO PLUMBING INC
431 E 5TH ST 268 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(619) 920-9244 (360) 457-0341
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . . RE PLUMB MAIN STRUCTURE
Permit Fee . . . . 85.00 Plan Check Fee .00
Issue Date . . . . 8/28/14 Valuation . . . . 0
Expiration Date . . 2/24/15
Qty Unit Charge Per Extension
BASE FEE 50.00
3.00 7.0000 EA PL-PLUMBING TRAP 21.00
1.00 7.0000 EA PL-WATER LINE 7.00
1.00 7.0000 EA PL-WATER HEATER 7.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- - ---------- ----------
Permit Fee Total 85.00 85.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 85.00 85.00 .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 has commenced,or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backfiow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor I Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall(interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pump/Furnace/FAU/Ducts
Rough-In
Gas Line
Wood Stove I Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
Landscaping ISHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction-R.W. PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
I H E: For City Use
CITY OF
L
Permit# 0
WAS H INGTON, U. S. Date Received:
32 1 E 51b Street
Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits(&citvofi2a.us BUILDING PEM APPLICATION
Project Address: .�2 1 Z, rJ r rl S
Primag Contact: Phone: o e I I ��-�2() -�2 qq
Email: 'j v� Ike C r
2q
Nam Phone 1�
-- Cb(2a 0a V(J I J�e r Q eI 101
Property Maili Address Email
Owner TA I F 5�--h S+
city Pori Arl 'el.e,5 WA BL 2- State
Name Phone
- WI )I -In PILkMbiY14 eo '-� D - q-';
Contractor Address Email
information city State UWJ Zip
Contractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (m—aterials and labor)
$ 4 41 00D
Residential )EL Commercial 11 industrial 11 Public 11
Permit Demolition 11 Fire El Repair Reroof(tear off/lay over) 0
Classification For the follgwiLig, fill out both pages of permit apUlication:
(check New Construction El Exterior Remodel 0 Addition 1:1 Tenant Im rovement 11
appropriate) Mechanical 0 Plumbing/)R�' Other 0 P
WiH a fire sprinkler system be installed Irrigation System? Proposed Bathrooms Proposed Bedrooms
or modified? Yes 13 No Yes 13 No-��
-Project Description Re- oa', (- ayt8 re46,(�' 1A YA rl!2� Z:2', Qes
Is project in a Flood Zone: Yes 13 .N\o/I�Flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
1 have read and completed the application and know it to be true and correct. I am authorized to apply for
this permit and understand that it is my responsibility to determine what permits are required and to
obtain permits prior to work. I understand that plan review fees are not refundable after review has
occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is
issued. I understand that if the permit is not picked up/issued within 18o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
0 1�o�a �e
Dal Print Name SiLynature
Residential Structures
For Office Use
Area Description(SQ F1r) Existing Proposed ss value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
n,
2
Deck(over 30"or . floor)
Garage
Carport
Other(describe)
Area Totals I t
Commercial Structures
Proposed For Office Use
Area Descriptions(SQ FT) Existing Proposed ss Value
Existing Structure(s)
Proposed Addition
Tenant Improvement?
oeher work(describe)
Site Area Totals
Lot/Site Co erage Calculations
Lot Size(sq ft) Lot Coverage(sq ft) %Lot Coverage(Total lot coverage+lot size)
Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site coverage+lot size)
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler Size: # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) #
Boiler/Compressor Size: # Heating/Cooling appliance #
I repair/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fireplace Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #
Furnace/Heat Pump/ Size: # Ventilation System #
Forced Air Unit I I
Plumbing Fixtures
Indicate how many of each type of flxture to be Installed or relocated
Plumbing Traps # Fuel gas piping #of Outlets:
Water Heater # Medical gas piping #of Outlets:
Water Line # Plumbing Vent piping #
Sewer Line # Industrial waste pretreatment
Interceptor(Grease Trap) Size
Other(describe):
,r.%nFtvw ntrjr%a novirarinki unomexr.—a"l-RD A nn11rot1nn%1Rvd1d1n a ParmitA.17.17 rinry
Address:
311 Street
�- t ;z- C- � -3 -!� ';�--
PREPARED 4/27/15, 10:09:42 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/27/15
------------------------------------------------------------------------------------------------
ADDRESS - : S12 E 3RD ST SUBDIV:
CONTRACTOR J GRICE CONSTRUCTION LLC PHONE (360) 452-1708
OWNER RANDALL B AND DEANA M VOLKER PHONE (619) 920-9244
PARCEL 06-30-00-5-2-6522-0000-
APPL NUMBER: 14-00000186 RES ACCESSORY BUILDING
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTTAT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BLFS 01 3/14/14 JLL BLDG MONO SLAB
3/14/14 AP March 14, 2014 9:15:02 AM pbarthol.
Jayson 460-2673
March 14, 2014 4:34:33 PM jlierly.
BAIR 01 7/15/14 JLL BLDG AIR SEAL
7/15/14 AP July 15, 2014 8:14:23 AM pbarthol.
Denna 619-920-9244
July 15, 2014 4:55:05 PM jlierly.
BL3 01 7/15/14 JLL BLDG FRAMING
7/15/14 AP July IS, 2014 8:13:2S AM pbarthol.
Denna G19-920-9244
July 15, 2014 4:55:05 PM jlierly.
BLI 01 7/22/14 JLL BLDG INSULATION
7/22/14 AP July 22, 2014 8:33:56 AM pbarthol.
Dena 619-920-9244
-**** Key Box 2673
July 22, 2014 4:30:44 PM jlierly.
BLI 02 3/20/15 JLL BLDG INSULATION
3/20/15 AP March 20, 2015 9:06:53 AM pbarthol.
Dena 619-920-9244
March 20, 2015 3:45:27 PM jlierly.
BL99 01 4/27/15 BLDG FINAL
April 24, 2015 11:44:48 AM jlierly.
619-920-9244 deana
--------------------- -------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED TNSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME99 01 4/27/15 MECHANICAL FINAL
____ t� April 24, 2015 11:45:34—AM jlierly.
----------------------V,2 ------ ---------------------------------------------------------------
PERMIT: PL 00 PLUMBING IERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
PL1 01 3/14/14 JLL PLUMBING UNDER SLAB
3/14/14 AP March 14, 2014 9:15:33 AM pbarthol.
March 14, 2014 4:34:33 PM jlierly.
PL2 01 5/09/14 JLL PLUMBING ROUGH-IN
5/09/14 AP May 9, 2014 9:30:44 AM pbarthol.
Jayson 460-2673
May 9, 2014 4:12:55 PM jlierly.
PL2 02 6/26/14 PB PLUMBING ROUGH-IN
6/26/14 AP June 26, 2014 11:45:15 AM pbarthol.
denna 619-920-9244
----------------------------------- CONTINUED ONTO NEXT PAGE -----------------------------------
PREPARED 4/27/15, 10:09:42 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/27/15
------------------------------------------------------------------------------------------------
ADDRESS . : 512 E 3RD ST SUBDIV:
CONTRACTOR J GRICE CONSTRUCTION LLC PHONE (360) 452-1708
OWNER RANDALL B AND DEANA M VOLKER PHONE (619) 920-9244
PARCEL 06-30-00-5-2-6522-0000-
APPL NUMBER: 14-00000186 RES ACCESSORY BUILDING
------------------------------------------------------------------------------------------------
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
June 27, 2014 8:25:30 AM pbarthol.
PL99 01 4/27/15 PLUMBING FINAL
April 24, 2015 11:45:S6 AM jlierly.
--------------------- --------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 14-00000186 Date 3/05/14
Application pin number . . . 782158
Property Address . . . . . . 512 E 3RD ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-2-6522-0000- REPORT SALES TAX
Application type description RES ACCESSORY BUILDING
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . I . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 43000 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
672 sq ft garage with 2nd story storage space
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
RANDALL B AND DEANA M VOLKER J GRICE CONSTRUCTION LLC
431 E 5TH ST 223 MARSDEN RD
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(619) 920-9244 (360) 452-1708
Other struct info . . . . . HARD SURFACE AREA
-----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc . . 672 SQ FT GARAGE/672 STORAGE
Permit Fee . . . . 599.55 Plan Check Fee 389.71
Issue Date . . . . 3/05/14 Valuation . . . . 43000
Expiration Date . , 9/01/14
Qty Unit Charge Per Extension
BASE FEE 417.75
18.00 10.1000 THOU BL-25,001-50K (10.10 PER K) 181.80
-----------------------------------I-----------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . VENT FAN IN ACC. STRUCTURE
Permit Fee . . . . 72.05 Plan Check Fee .00
Issue Date . . . . 3/05/14 Valuation . . . . 0
Expiration Date 9/01/14
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 7.25
1.00 14.8000 EA ME-HEATER(SUSP/WALL/FLOOR-MTD) 14.80
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc PLUMBING FOR ACC. STRUCTURE
Permit Fee 114.00 Plan Check Fee .00
Issue Date 3/05/14 Valuation . . . . 0
Expiration Date 9/01/14
Qty Unit Charge Per Extension
BASE FEE 50.00
3.00 7.0000 EA PL-PLUMBING TRAP 21.00
1.00 7.0000 EA PL-WATER LINE 7.00
2.00 7.0000 EA PL-DRAIN VENT PIPING 14.00
1.00 15.0000 EA PL-SEWER LINE 15.00
Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The-granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
- 114 Da C,
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
– PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS–
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type —F Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall(Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor I Ceiling
MECHANICAL:
Heat Pump/Furnace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet I Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SE A:
Parking/Lighting ESA:
Landscaping ISHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction- R.W. PW /Engineering 417-4831
Fire 417-4653
Planning 417-4750
L Building 417-4815
T:Forms/Building Division/Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
ce 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number . . . . . 14-00000186 Date 3/05/14
Application pin number . . . 782158
REPORT SALES TAX
Qty Unit Charge Per Extension on your state excise tax form
1.00 7.0000 EA PL-WATER HEATER 7.00
---------------------------------------------------------------------------- to the City of Port Angeles
Special Notes and Comments
February 25, 2014 11:03:23 AM tamiot. (Location Code 0502)
EXISTING HOUSE ELECTRICAL SERVICE IS TO BE CONVERTED TO
UNDERGROUND AND NEW ELECTRICAL SERVICE IS TO BE UNDERGROUND.
BOTH TO BE GOING TO THE NEW POLE SET IN THE SW CORNER OF THE
PROPERTY. ELECTRICAL PERMIT REQUIRED FOR ALL ELECTRICAL
WORK.
The Fire Department has reviewed the project application and
has no comments
March 4, 2014 4:54:32 PM sroberds.
the proposal will result in a 2 story detached accessory
structure for total lot cov og 27t and site cov of 36%. No
land use issues anticipated�
Consider applying for the City Green Infrastructure Rebate
of up to $750.00 towards the.materials to install rain
garden to control roof and driveway runoff. Also rebates
available for downspout disconnections.Contact Jonathan
Boehme at 360 417-4811
Sanitary sewer connection inspection is required by
Public works prior to back fill of ditch. 24 hour advance
notice is required. Public Works Inspection request line
417-4831
The existing building sewer may be located at the same
location of the proposed construction. Any modification or
damage to the existing building sewer will require other
permits and inspections.
-------------------------------------------------i--------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ----------- ---------- ---------- ----------
Permit Fee Total 785.60 785.60 .00
Plan Check Total 389.71 389.71 .00 .00
Other Fee Total 4.50 4.50 .00
Grand Total 1179.81 1179.81 .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 has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
TFomns/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
— PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
Building Inspections 417-4815 Electricaf Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Sternwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall I Hold Downs
Walls/Roof/CeiTing
Drywall(interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pump/Furnace I FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
Landscaping ISHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction- R.W. PW /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
THE For City Use
CITY OF RT ANGELES
P-L
Permit#
W A S H I N G T 0 N, U . S.
Date Received:
321 t 51h Street DateApproved JL(
Port Angeles,WA9836
P:360-417-4817 F:360-417-4711
Email:permits0cityoffia.us BUILDING PERMIT APPLICATION
Project Address: 51 -2- F, 3rcl 5+ �B�aZ
e Phone: (9 19 '-'q-2D -47244
Primary Contact: a rJa_ �0 1 � et_ Email: vo e r,5
Nam Phone
:Dc9o,via I Ke�-
Property Mailing Address Emai
Owner 4 3 i F- 3+
City P6(+ A rlc�e le�) State 93�2—
Nam!3�\/ 540A I G C�(--p— Phone 4W
Contractor Address 2-J�S P Email
Information d ..�Q C16-eCO n S-f r CkJ't 0A 0 4a 6 .4_6 M
City A Y, �)�2)-'ES I Statv -W/'J I zip qA�2
Contractors License# -T G ICGC 2 34 MCI I Ex Date: -7-3- i 5
Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor)
s4sio0c)
Residential A Commercial Industrial 11 Public
Permit Demolition 11 Fire El Repair Reroof(tear off/lay over)
Classification For the following, flll out both pages of permit aDDlication:
(check New Construction X Exterior Remodel 11 Addition Tenant Improvement 1:1
appropriate) . Mechanical El Plumbing 11 Other El
Fire Sprinkler System? I Irrigation System? oposed Bathrooms Proposed Bedrooms
Yes E3 No Yes [3
No
Project Description 2, C&f- Q Q
� OCJIAIV�n ka44o0rVk-JW showef-
Is project in a Flood Zone: Yes [3 No�(Flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
I have read and completed the application and know it to be true and correct. I am authorized to apply for
this permit and understand that it is my responsibility to determine what permits are required and to
obtain permits prior to work. I understand that plan review fees are not refundable after review has
occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is
issued. I understand that if the permit is not picked up/issued within i8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
-bcoa r? I [�er-
7-0- J 0,16
Date Print Name Signature
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed ss value
Basement
First Floor AD dAaraC,
Second Floor
Covered Deck/Porch/Entry no cbk4�e_
Deck(over 30"or 2"d floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
For Office Use
Area Descriptions(SQ FT) Existing Proposed ss Value
Existing Structure(s)
Proposed Addition
Tenant Improvement?
-Other work(describe)
Site Area Totals
Lot/Site Coverage Calculations
Lot Size(sq ft) Lot Coverage(sq ft) %Lot Coverage(Total lot coverage lot size)
7 000
Site Coverage (Sq Ft of all im ervious) %of Site Coverage(total site coverage-- lot size)
Mechanical Fixtures
Indicate how many of each type of ffixture to be installed or relocated as part of this project.
Air Handler I Size: # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan # Heater(Suspended, Floor,Recessed wall) #
Boiler/Compressor Size: Heating/Cooling appliance #
repair/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fireplace/Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #
Furnace/Heat Pump/ Size: # Ventilation System #
Forced Air Unit
Plumbing Fixtures
Indicate how many of each type of flxtu e to bq/6sta1_IejPbr relocated
Plumbing Traps # Fuel gas piping #of Outlets:--tey—
Water Heater # Medical gas piping #of Outlets;
(14 _C1—
Water Line # Plumbing Vent piping # 2-
Sewer Line # Industrial waste pretreatment Size _6t�7_
Other(describe): interceptor(Grease Trap).
T:\BUILDING\APPLICATION FORMS\CurrentBPApplication\Building Permit 4-17-13.docx
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------Ll ----EXISTING
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24' 512 E. THIRD ST.
w
0 10, 20' 50' PORT ANGELES
of
1"=2 I b APN 0630005265220000
(E) ALLEY cq OWNER: DEANA VOLKER
02-15-2014 619-920-9244
BALLOON FRAmt HDU50NbOUIILE
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'To RAFTERS STEEL*DOO 2X STUD�
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MecaWind Pro v2 . 2 . 4 . 1 per ASCE 7-10
Developed by MECA Enterprises, Inc. Copyright www.mecaenterprises.com
Date 1/10/2014 Project No.
Company Name ZENOVIC & ASSOCIATES Designed By MRS
Address 301 EAST 6TH STREET, SUITE 1 Description STR. FOR GARAGE FOR VOLKER
City PORT ANGELES Customer Name DUNGENESS DESIGN
State WA Proj Location PORT ANGELES, WA
File Location: C:\Users\MADDIE\AppData\Roaminq\MecaWind\Default.wnd
Directional Procedure Simplified Diaphragm Building (Ch 27 Part 2)
Basic Wind Speed(V) 130.00 mph
Structural Category II Exposure Category C
Natural Frequency N/A Flexible Structure No
Importance Factor 1.00 Kd Directional Factor 0.85
Alpha 9.50 Zg 900.00 ft
At 0.11 Bt 1.00
Am 0.15 Bm 0.65
Cc 0.20 1 500.00 ft
Epsilon 0.20 Zmin 15.00 ft
Slope of Roof : 12 Slope of Roof(Theta) 30.26 Deg
Ht: Mean Roof Ht 19.50 ft Type of Roof GABLED
RHt: Ridge Ht 23.00 ft Eht: Eave Height 16.00 ft
OH: Roof Overhang at Eave— .00 ft Overhead Type No Overhang
Bldg Length Along Ridge � 28.00 ft Bldg Width Across Ridge= 24.00 ft
MWFRS Diaphragm Building Wind Pressures per Ch 27 Pt 2
All pressures shown are based upon ASD Design, with a Load Factor of .6
See Fig 271-2 for
Parapet vWnd Roof Pressures
pressures See Table 27.6-2
Mean roof hL
Ph
Wind
Wall Pressures
See TaWe 27.6-1 h
Plan
PC
Elevation
4
(D
Gh
NVW
Gabled Roof
MWFRS Pressures for Wind Normal to 28 ft wall (Normal to Ridge)
WALL PRESSURES PER TABLE 27.6-1
L/B: Bldg Dim in Wind Dir / Bldg Dim Normal to Wind Dir 0.86
h: Height to top of Windward Wall 16.00 ft
ph: Net Pressure at top of wall (windward + leeward) 21.35, psf
pO: Net Pressure at bottom of wall (windward + leeward) 21.29 psf
ps: Side wall pressure acting away from wail = .54 * ph = -11.53 psf
pi: Leeward wall pressure acting away from wall .38 * ph = -8.11 psf
pwh: Windward wall press @ top acting toward wall ph-pl 13.24 psf
pwO: Windward wail press @ bot acting toward wall pO-pl 13.18 psf
ROOF PRESSURES PER TABLE 27.6-2
h: Mean Roof Height 19.500 ft
Lambda: Exposure Adjustment Factor 1.000
Slope: Roof Slope 30.26 Deg
Zone Load Casel Load Case2
Psf Psf
---- ---------- ----------
1 -9.40 9.17
2 -13.69 -6.52
3 -21.04 .00
4 -18.71 .00
5 -15.36 .00
Note: A value of '0' indicates that the zone/load case is not applicable.
MWFRS Pressures for Wind Normal to 24 ft wall (Along Ridge)
WALL PRESSURES PER TABLE 27.6-1
L/B: Bldg Dim in Wind Dir / Bldg Dim Normal to Wind Dir 1.17
h: Height to top of Windward Wall 23.00 ft
ph: Net Pressure at top of wall (windward + leeward) 22.12 psf
pO: Net Pressure at bottom of wall (windward + leeward) 21.50 psf
ps: Side wall pressure acting away from wall = .56 � ph -12.32 psf
pl: Leeward wall pressure acting away from wall .36 * ph -8.00 psf
pwh: Windward wall press @ top acting toward wall ph-pl 14.12 psf
pwO: windward wall press @ bot acting toward wall pO-pl 13.49 psf
ROOF PRESSURES PER TABLE 27.6-2
h: Mean Roof Height 19.300 ft
Lambda: Exposure Adjustment Factor 1,000
Slope: Roof Slope 30.26 Deg
Zone Load Casel Load Case2
Psf Psf
---- ---------- ----------
1 -9.40 9.17
2 -13.69 -6.52
3 -21.04 .00
4 -18.71 .00
5 -15.36 .00
Note: A value of 101 indicates that the zone/load case is not applicable.
�9FO R T E ' MEMBER REPORT Roof Framing,Joist PASSED
1 piece(s) 2 x 10 Douglas Fir-Larch No. 2 @ 24" OC
Overall Sloped Length: 15'4 13/16"
0 0
12
7[
12'
[2]
All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal.
Design Resul Actual 0 Location Allowed Result LDF Load:Combination(Pa0m) System Roof
Member Reaction(lbs) 512 @ 12'5 1/2" 1406(1.50") Passed(36%) -_ 1.0 D+1.0 S(All Spans) Member Type 3oist
Shear(lbs) 456 @ 11'9'1/2" 1915 Passed(24%) 1.15 1.0 D+1.0 S(All Spans) Building Use:Residential
Moment(Ft-lbs) 1546 @ 6'5" 2334 Passed(66%) 1.15 1.0 D+1.0 S(All Spans) Building Code:IBC
Live Load Defl.(in) 0.203 @ 6'5- 0.466 Passed(L/827) 1.0 D+1.0 S(All Spans) Design Methodology:ASO
Total Load Defl.(in) 0.344 @�5" 0.699 Passed(1-1488) 1.0 D+1.0 S(All Spans) Member Pitch:7/12
Deflection criteria:LL(L1360)and TIL(U240).
Bracing(Lu):All compression edges(top and botbDm)must be braced at 7'8"o/c unless detailed otherwise.Proper attachment and positioning of lateral
bracing is required to achieve member stability.
A 15%increase in the moment capacity has been added to account for repetitive member usage.
Applicable calculations are based on NDS 2005 methodology.
Bearing Length Loads to Supports(lbs)
Supports Total Available Req-ui LA
I-Beveled Plate-S F 5.50" 5.50" 1.50" 223 321 544 Bl:oc7king
:g
2-Hanger on 9 1/4"SPF beam 1.501, 224 325 549 See note 1
-Blocking Panels are assumed to carry no loads applied directly above them and the full load is applied to the member being designed.
-At hanger supports,the Total Bearing dimension is equal to the width of the material that is supporting the hanger
See Connector grid below for additional information and/or requirements.
Connector:Simpson.Strong-Tie Connectors
Support Model Seat Length Top Nails Face Nails Member Nails
2-Face Mount Hanger LSSU28 3.50" N/A 9-10d common 5-10d x 1-1/2 Ls-rA18 Strap
Dead Snow
Loads Location Spacing (0.90) (1.15) Comments
1-Uniform(PSF) 0 to 12'11" 24" 15.0 25.0 Roof
Weyerhaeuser Notes SUSTAINABLE FORESM INITIATIVE
Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values.
Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for installation details.
(www.woodbywy.com)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Use of this software is not intended to
circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to
assure that this calculation is compatible with the overall project.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable
forestry standards.
The product application,input design loads,dimensions and support information have been provided by Forte Software Operator
Forte Software Operator Job Notes 1/13/2014 3:13:29 PM
Maddie Steams 14004 DUNGENESS DESIGN Forte v4.1,Design Engine:V5.7.0.245
Zeno,Ac&Associates GARAGE FOR VOLKER 14004.4te
(360)417-0501 LOC:PORTANGELES,WA
maddie@zeno,Ac.net Page I of 1
��IFO R T E MEMBER REPORT, Floor framing,Floor Joist PASSED
1 piece(s) 2 x 10 Douglas Fir-Larch No. 2 @ 16" OC
Overall Length: 12'
0
11'3 3/4"
All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal.
Design Results Actual @ Location Result dLDF Load:CombinaNJon(Patterni System:Floor
Member Reaction(lbs) 385 @ 13/4" 956(1.50") Passed(40%) -_ 1.0 D+1.0 L(All Spans) Member Type Joist
Shear(lbs) 326 @ V 1665 Passed(20%) 1.00 1.0 D+1.0 L(All Spans) Building Use:Residential
Moment(Ft-lbs) 1098 @ 5'10 5/8" 2029 Passed(54%) 1.00 1.0 D+1.0 L(All Spans) Building Code:IBC
Live Load Defl.(in) 0.132 @ 5'10 5/8" 0.287 Passed(L/999+) -- 1.0 D+1.0 L(All Spans) Design Methodology ASD
Total Load Defl.(in) 0.165 @ 5'10 5/8" 0.574 Passed(L/837) 1.0 D+1.0 L(All Spans)
TJ-Prol"Rating N/A N/A
Defleclion criteria:LL(L/480)and TL(L/240).
Bracing(Lu):All compression edges(tDp and bottom)must be braced at 11'9 1/16"o/c unless detailed otherwise.Proper attachment and positioning of
lateral bracing is required to achieve member stability.
A 15%increase in the moment capacity has been added to account for repetitive member usage.
Applicable calculations are based on NDS 2005 methodology.
No composite action between deck and joist was considered in analysis.
Total Available Required Dead Floor TO I Accessories
Live
Bearing Length Loads to Supports(lbs)
Supports
1-Beam-SPF 2.75" 1.501, 1.50" 78 314 392 1 1/4"Rim Board
2-Stud wall-SPF 5.501, 4.25" 1.50" 82 326 408 11/4"Rim Board
-Rim Board is assumed to carry all loads applied directly above it,bypassing the member being designed.
Dead Floor Live
Loads Location Spacing (0.90) (1.00) Comments
1-Uniform(PSF) 0 to 12' 16" 10.0 40.0 Residenbal-Living Areas
Weyerhaeuser Notes SUSTAINABLE FORESTRY INITIATIVE
Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values.
Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for installation details.
(www.woodbywy.com)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Use of this software is not intended to
circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to
assure that this calculation is compatible with the overall project.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable
forestry standards.
The product application,input design loads,dimensions and support information have been provided by Forte Software Operator
Forte Software Operator Job Notes 1/13/2014 3:35:30 PM
Maddie Steams 14004 DUNGENESS DESIGN Forte v4.1,Design Engine:V5.7.0.245
Zeno\Ac&Associates GARAGE FOR VOLKER 14004.4te
(360)417-0501 LOC:PORT ANGELES,WA
maddie@zeno�ic.net Page 1 of 1
AXIAL COMPRESSION AND COMBINED LOADING CALC. ZENOVIC AND ASSOCIATES,INC.
PROJECT: GARAGE FOR VOLKER 301 EAST 6TH STREET,SUITE#I
CLIENT: DUNGENESS DESIGN PORT ANGELES,WA 98382
JOB# 14004
DESCRIPTION: BALLOON FRAMED WALL
DATE: 1/16/2014
TRIB.AREA
(ft.)
I I
MEMBER INFO.
NO.MEMBERS MEMBER TOTAL AREA SECTION UNBRACED DEPTH OF MEMBER MODULUS OF COMP.DESIGN BENDING DESfGN
WIDTH MODULUS LENGTH (UNBRACED) ELASTICITY STRENGTH VALUE
# W) A s L d E Fc Fb
(in. (sq.in) Qn^3) (in) (in) (psi) (p psi)
2 16.5 1 .1 3 1 1 1.61E I ik 1 90-0
ADJUSTMENT FACTORS WIND FACTOR
CD CM Ct CL CF Cv p
1.6 1 T— 1 11 .!.�3 ' I lb/ft^2
Cfu Ci Cr Cc Cf CP
1.15 0.08
TABLULATED VALUES(SEE SHEET?)-- LOADING INFO.
I— [BUCKLING COEF. VERT.LOAD MOMENT HORIZ.REACTION
Kce c Ke p M
0.3 0.8 (1b) (ft-lb) (lb)
'50 1278.1 238
COMPUTED VALUES
fb(psi) F*b(psi) Fb(psi) fc(psi) F-c(psi)
1014 2152.8 2152.8 3 2808
215
F.E
F, [Ej�]]
218 2c 2c c
Fl, ICOMBINED LOADING CALC. DEFLECTION
f+F64-V, FA OK (in)
f 1.60
- IAXIAL LOAD CALC Llx
T7 1 0.01 OK (inlin)
<1.0 IBENDING CALC 161
1 0.47 OK
F'�
SUMMARY
NO.MEMBERS 2
SIZE b h
2 6
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Prescriptive Energy Code Compliance for All Climate Zones in Washington
Project Information Contact Information
512 E. 3rd St., Port Angeles, WA 98326 Deana Volker
Acessory Building-Garage/Storage Ed 619-920-9244
This project will use the requirements of the Prescriptive Path below and incorporate the
the minimum values listed.In addition,based on the size of the structure,the appropriate
number of additional credits are checked as c sen by the permit applicant.
Authorized Representative Date
All Climate Zones
R-Value a U-Factor'
Fenestration U-Factor b n/a 0.30
Skylight U-Factor n/a 0.50
Glazed Fenestration SHGCb,e n/a n/a
Ceiling 491 0.026
Wood Frame Wall g,k,l 21 int 0.056
Mass Wall R-Value' 21/21' 0.056
Floor 30g 0.029
Below Grade Wall ck 10/15/21 int+TB 0.042
Slab d R-Value&Depth 10,2 ft n/a
*Table R402.1.1 and Table R402.1.3 Footnotes included on Page 2.
Each dwelling unit in one and two-family dwellings and townhouses,as defined in Section 101.2 of the
International Residential Code shall comply with sufficient options from Table R406.2 so as to achieve the
following minimum number of credits:
MI.Small Dwelling Unit: 0.5 points
Dwelling units less than 1500 square feet in conditioned floor area with less than 300 square feet of fenestration
area. Additions to existing building that are less than 750 square feet of heated floor area.
n2.Medium Dwelling Unit: 1.5 points
All dwelling units that are not included in#1 or#3, including additions over 750 square feet.
n3.Large Dwelling Unit: 2.5 points
Dwelling units exceeding 5000 square feet of conditioned floor area.
Table R406.2 Summary
Option Description Credit(s)
1 a Efficient Building Envelope 1 a 0.5 0.5
1 b Efficient Building Envelope lb 1.0 El
1 C Efficient Building Envelope 1c 2.0 El
2a Air Leakage Control and Efficient Ventilation 2a 0.5 El
2b Air Leakage Control and Efficient Ventilation 2b 1.0 El
2c Air Leakage Control and Efficient Ventilation 2c 1.5 E]
3a High Efficiency HVAC 3a 0.5
3b High Efficiency HVAC 3b 1.0 E]
3c High Efficiency HVAC 3c 2.0 El
3d High Efficiency HVAC 3d 1.0 F-1
4 High Efficiency HVAC Distribution System 1.0 1:1
5a Efficient Water Heating 0.5 F-1
5b Efficient Water Heating 1.5
6 Renewable Electric Energy 0.5 1 1-1200 kwh 0.0
Total Credits 0.50
*Please refer to Table R406.2 for complete option descriptions
http://www.energy.wsu.edu/Documents/`2012%2ORes`/*2OEnergy.pdf
Table R402.1.1 Footnotes
For Sk 1 foot.=304.8 mm,ci .=continuous insulation, int.=intermediate framing.
a R-values are minimums. U-factors and SHGC are maximums.When insulation is installed in a cavity which is
less than the label or design thickness of the insulation,the compressed R-value of the insulation from
Appendix Table A101.4 shall not be less than the R-value specified in the table.
b The fenestration U-factor column excludes skylights.The SHGC column applies to all glazed fenestration.
Exception:Skylights may be excluded from glazed fenestration SHGC requirements in Climate Zones 1
through 3 where the SHGC for such skylights does not exceed 0.30.
c"10/15/21.+TB" means R-10 continuous insulation on the exterior of the wall, or R-15 on the continuous
insulation on the interior of the wall,or R-21 cavity insulation plus a thermal break between the slab and the
basement wall at the interior of the basement wall. "10/15/21.+TB"shall be permitted to be met with R-13
cavity insulation on the interior of the basement wall plus R-5 continuous insulation on the interior or
exterior of the wall. "10/13" means R-10 continuous insulation on the interior or exterior of the home or R-
13 cavity insulation at the interior of the basement wall. "TB" means thermal break between floor slab and
basement wall.
d R-10 continuous insulation is required under heated slab on grade floors.See R402.2.9.1.
e There are no SHGC requirements in the Marine Zone.
f Basement wall insulation is not required in warm-humid locations as defined by Figure R301.1 and Table
R301.1.
g Reserved.
h First value is cavity insulation,second is continuous insulation or insulated siding,so"11+5" means R-13
cavity insulation plus R-5 continuous insulation or insulated siding. If structural sheathing covers 40 percent
or less of the exterior,continuous insulation R-value shall be permitted to be reduced by no more than R-3 in
the locations where structural sheathing is used to maintain a consistent total sheathing thickness.
'The second R-value applies when more than half the insulation is on the interior of the mass wall.
i For single rafter-or joist-vaulted ceilings,the insulation may be reduced to R-38.
k Int. (intermediate framing)denotes standard framing 16 inches on center with headers insulated with a
minimum of R-10 insulation.
I Log and solid timber walls with a minimum average thickness of 3.5 inches are exempt from this insulation
requirement.
Table R402.1.3 Footnote
a Nonfenestration U-factors shall be obtained from measurement,calculation or an approved source or as
specified in Section R402.1.3.
Address:
rd Street
_5-t �2- 57 r
PREPARED 6/27/14, 15:48:36 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/14/14
--------------------------------------------------------------------------- --------------------
ADDRESS . : 512 E 3RD ST SUBDIV:
CONTRACTOR J GRICE CONSTRUCTION LLC PHONE (360) 452-1708
OWNER RANDALL B AND DEANA M VOLKER PHONE (619) 920-9244
PARCEL 06-30-00-5-2-6522-0000-
APPI, NUMBER: 14-00000086 DEMOLITION
------------------------------------------------------------------------------------------------
PERMIT: DEMO 00 DEMOLITION
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS.
------------------------------------------------------------------------------------------------
EL99 01 3/14/14 JLL BLDG FINAL
Ju.e 27, 2014 3:50:59 PM pbarthol.
ITT-
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 14-0000008G Date 1/22/14
Application pin number . . . 9GQ6G8
Property Address . . . . . . 512 E 3RD ST
ASSESSOR PARCEL NUMBER: . 06-30-00-5-2-6522-0000-
Application type description DEMOLITION REPORT SALES TAX
Subdivision Name . . . . . .
Property Use . . . . . . . . on your state excise tax form
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles
Application valuation . . . . 1500
----------------------------------------------------------------------------- (Location Code 0502)
Application desc
DEMO GARAGE/CARPORT
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
RANDALL B AND DEANA M VOLKER J GRICE CONSTRUCTION LLC
431 E 5TH ST 223 MARSDEN RD
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(619) 920-9244 (360) 452-1708
---------------------------------------L------------------------------------
Permit . . . . . . DEMOLITION
Additional desc . . DEMO GARAGE/CARPORT
Permit Fee . . . . 50.00 Plan Check Fee .00
Issue Date 1/22/14 Valuation . . . . 0
Expiration Date 7/21/14
Qty Unit Charge Per Extension
BASE FEE 50.00
----------------------------------------------------------------------------
Other Fees . . . . . . . I . STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00
Grand Total 54.50 54.50 .00 .00
Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEA SE PRO VIDE A MINIMUM 24-HOUR NO TICE FOR INSPEC TIONS —
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 4174831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL,TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type 7 Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage/Downspouts
Tiers
Post Holes(Pole Bidgs.)
PLUMBING:
Under Floor/Slab
Rough-in
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall(Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pump/Furnace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing/Slab
1131ocking&Hold Downs
ISkirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking I Lightin ESA:
Landscaping ISHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction-R.W. PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
THE I ' For City Use
CITY OF . 11 R �jGEL�,,, S
P-L
TA, Permit# 1--71-96
V� ASH I NGTON, U . S. Date Received: 2,-"7
321 E 51h Street Date Approved 'X�
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permitsPcityofbams BUILDING PERMIT APPLICATION
Project Address: eD 1 -2— 3�-,l S+
Phone: (P -2-4�
Primaly ontact: 1(20,Y& Vo1Ke-.0 Email: &,Je., Ma Ono =
Nam M Phone
a V1 KC�--
Property Mailin Add,ess Email
Owner 4 1 E V61 K(? 5 M66 C t
City State
( '�J 4- -2—
Nam Pho
7 S(d)-q 2 1,0 -5
Contractor Address Email
Information City 213 MaCslon Rd 1)ti S�fi A 1)n
P. A- zqgS� 2-
Contractors License# Ex Date: S7
Legal Description: Zoning: Tax Parcel# Project-Value: (materials and labor)
1 $ /560
Residential Commercial Industrial Public
Demolition
Permit Fire 11 Repair Reroof(tear off/ldy over) El
Classification For the following, fill out both pages of permit application:
(check New Construction El Exterior Remodel 11 Addition Tenant Improvement
appropriate) Mechanical El Plumbing Other 11
Fire Sprinkler System? Irrigation System? Bathrooms Proposed Bedrooms
Yes E3 No C3 Yes 0 No 0
Project Description Dnw -6Aepbjr
Is project in a Flood Zone: Yes 13 NA Flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
I have read and completed the application and know it to be true and correct. I am authorized to apply for
this permit and understand that it is my responsibility to determine what permits are required and to
obtain permits prior to work. I understand that plan review fees are not refundable after review has
occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is
issued. I understand that if the permit is not picked up/issued within 18o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
1 -2 J(,70M�- VO
Date Print Name Signature
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed ss value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or2 d floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
For Office Use
Area Descriptions(SQ FT) Existing Proposed ss Value
Existing Structure(s)
�Proposed Addition
Tenant Improvement?
Pther work(describe)
Site Area Totals
Lot/Site Coverage Calculations
Lot Size(sq ft) Lot Coverage(sq ft) %Lot Coverage(Total lot coverage lot size)
Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site coverage-- lot size)
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler Size: # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) #
Boiler/Compressor Size: # Heating/Cooling appliance #
repair/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fireplace/Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #
Furnace/Heat Pump/ Size: # Ventilation System #
Forced Air Unit I
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps # Fuel gas piping #of Outlets:
Water Heater # Medical gas piping #of Outlets:
Water Line # Plumbing Vent piping #
Sewer Line # Industrial waste pretreatment
interceptor(Grease Trap) Size
Other(describe):
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx
Address:
,d Street
PREPARED 6/27/14, 15:51:17 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/14/14
------------------------------------------------------------------------------------------------
ADDRESS . : 512 E 3RD ST �UBDIV:
CONTRACTOR J GRICE CONSTRUCTION LLC PHONE (360) 452-1708
OWNER RANDALL B AND DEANA M VOLKER PHONE (619) 920-9244
PARCEL 06-30-00-5-2-6522-0000-
APPI, NUMBER: 13-00001386 RES FOUNDATION ONLY
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BLI 01 12/10/13 PB BLDG FOUNDATION FOOTING
12/10/13 AP December 9, 2013 12:3S:25 PM pbarthol.
Jason 460-2673
AM
December 10, 2013 11:40:36 AM pbarthol.
ufr ground ok
BL2 01 12/16/13 PB BLDG FOUNDATION STEM WALL
12/17/13 AP December 16, 2013 2:28:50 PM pbarthol.
jayson 460-2673
December 17, 2013 9:12:05 AM pbarthol.
BL99 01 3/14/14 Jj BLDG FINAL
June 27, 2014 3:53:49 PM pbarthol.
---------------------- -------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 13-00001386 Date 12/06/13
Application pin number . . . 987400
Property Address . . . . . . 512 E 3RD ST
ASSESSOR PARCEL NUMBER: OG-30-00-5-2-6522-0000- REPORT SALES TAX
Application type description RES FOUNDATION ONLY on your state excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 15000 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
REPAIR/REPLACE FOUNDATION
-------------------7--------------------------------------------------------
Owner Contractor
------------------------ ------------------------
RANDALL B AND DEANA M VOLKER J GRICE CONSTRUCTION LLC
431 E STH ST 223 MARSDEN RD
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(619) 920-9244 (360) 452-1708
-----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc . . FOUNDATION REPLACEMENT
Permit Fee . . . . 277.75 Plan Check Fee 180.54
Issue Date . . . . 12/OG/13 valuation . . . . 15000
Expiration Date G/04/14
Qty Unit Charge Per Extension
BASE FEE 95.75
13.00 14.0000 THOU BL-2001-25K (14 PER K) 182.00
------------------------------------------- --------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 277.75 277.75 00 .00
Plan Check Total 180.54 180.54 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 462.79 462.79 .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,1 80days,if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required-'inspe ctidns 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 ornot. The granting of a permit does
not presume to give authority t cel the provisions of any state or local law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
Building Inspections. 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Sternwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall(Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pump/Furnace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
,Landscaping ISHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction-R.W. PW Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
THE DtV
For City Use
CITY OF 0XV I NGELES
PermitIt /3 3&&
Date Received: 12-- -?- - ( �>
321 East 51 Street Date Approved
Port Angeles, WA 98362
P: 360-417-4817 F: 360-417-4711
permits@dtyofpa.us
Building Permit Applic tril lo n
Project Address:
-, rd
Main Contact: Phone# 3W-M �3
jam VVI I)IL E-Mail:
rty NaA Phone
Propi J tlo-Vo W
Owner �D W eK— — qdo Aq yq
MAWL-AddreSs Emam
Zip
state
Contractor N Phone
7(.4 �S
Maffft Address Ewan
Z3 &rrr(ej1 I
city State—V
I Alt A*/"Os k)A 2-
Contractor License# G(-673Y 14 C Expiration: -3
Project Value: Zoning: Tax Parcel# Lot#
$ 1
lsmo' 00 I Las " gL'Wli
Type of Residential Commercial 0 Industrial [3 Public 0
Permit Demolition 0 Fire 13 Repair 13 Reroof(tear off/lay over)
For the following,fill out both pages of permit application:
New Construction 0 Remodel 11 Addition El Tenant Improvement
Mechanical 0 Plumbing E3 Other 0
Eidsting Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes 13 No [3-
Project
aj�da e4l-stiw RaAda �m
I have read and completed the application and know it to be true and correct I am authorized to apply for this
permit. I understand that it is my responsibility to determine what permits are required and to obtain permits
prior to worldng on projects. I understand.that the plan review fee is not refundable after plan review has
occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the
permit is issued. I understand that if the permit is not issued within 180 days of receipt,the application will be
considered abandoned and the fees forfeit.
Date Print Name Signature
VC11-A Grl)cc
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 14-00000945 Date 8/08/14
Application pin number . . . 216685
Property Address . . . . . . 513 E 3RD ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-2-5862-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 3489 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
DUCTLESS HEAT PUMP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
GLOOR JOAN L ALPHA BUILDER CORPORATION
826 BLACK DIAMOND RD 105 1/2 E. 1ST ST.
PORT ANGELES WA 983639496 PORT ANGELES WA 983G2
(360) 452-3154
---------------------------------- -----------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . DUCTLESS HEAT PUMP
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 8/08/14% Valuation . . . . 0
Expiration Date . . 2/04/15
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR 5 TON 14.80
---- ------- -- -------------- - -- - - --- -----
Special Notes and Comments
Per Washington State Code 51-51-315,
installation of Carbon Monoxide
detector(s) is required if you are
installing or replacing a fuel burning
appliance (wood, pellet, gas)and must be
in place prior to the final inspection
of this permit. They are required to be
place directly outside of each sleeping
area and at least one on each floor of
the house.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .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 has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or lo al law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
— PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage/Downspouts
'Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted by
AIR SEAL:
Walls
.Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall(Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pump/Furnace I FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
LLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
andscaping ISHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction- R.W. PW Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
THE D."V
For City Use
CITY OF ,.N.- ,GELES
P 'A
W A S H I N G T 0 N , U . S . Permit#
Date Received:
321 East Sth Street
Port Angeles, WA 98362 Date Approved
P: 360-417-4817 F: 360-417-4711
permits@cityofpa.us
Building Permit Application
Project Address: VIY
Main Contact: Phone # 3 GO- '15;
E-Mail: ce Ite �af
Property Name Phone
Owner Mailing Address /Tor Email Ll 5 ,2 C;
0, 1'Jn4
City State Zip
F02W -t Avin:c-" uzA 1
Contractor Name, L/ Phone -
MailingAoress Email
C'
City State y2i�p
ean Z�n t 14!4 16 1
Contractor.-License# Expiration-
Project Value: zonii�g: Tax Parcel# Lot#
$ N Li AD/
Type of 'Residential commercial 0 Industrial 0 Public El
Permit Demolition 0 Fire El Repair 0 Reroof(tear off/lay over)- 0
For the following,fill out both pages of permit application:
New Construction El Remodel 11 Addition 11 Tenant Improvement
Mechanical Z�Plumbing El Other 1:1
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes, [3 No 0
Project
Description —
L
I have read and completed the application and know itto be true and correcL I am authorized to apply for this
permit. I understand that it is my responsibility to determine what permits are required and to obtain permits
prior to working on projects. I understand that the plan review fee is not refundable after plan review has
occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the
permit is issued. I understand that if the permit is not issued within 1-80 days of receipt,the application will be
considered abandoned and-the fees forfeit.
Date Print Name Signature
)<C0
Residential Structures
For Office-Use-
Area Description(SQ FT) Existing Proposed $$value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck
Garage
Carport
Other(describe)-
Area Totals
Commercial Structures
For Office Use
Area Descriptions(SQ FT) Existing: Proposed $$-Value
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)_
Area Totals
Lot/Site Coverage Calculations
Footprint(SQ FT)of all Structures: Lot Size: %Lot Coverage
SQ FT Site coverage(all impervious+ %Site Coverage
structures)
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler Size: # Haz/Non-Haz Piping #of Outlets:
Appliance Vent # Heater(Suspended,Floor,Recessed wall) #
# Heating/Cooling appliance #
Boiler/Compresso repair/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fireplace/Gas Stove/Gas Cook Stove/Misc.
Fuel-Gas Piping #-of Outlets; Ventilation Fan,single duct- #-
Furnace/Heat Pump/ Size: # Ventilation System #
Forced Air Unit I I
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps # Fuel gas piping #of Outlets:
Water Heater # Medical gas piping #of Outlets:
Water Line # Vent piping #
Sewer Line # Industrial waste pretreatment #
interceptor
Other(describe):
T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX
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catims and other datt--'�not pr--—1 the building official
fmil thereafter req!, the of errors in said
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e %.r I ti nit n1ation of all codes z of
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512 E 3 d Street CUP 16-03
P A
N-G- ELES
c:11 ; WASHINGTO N, U . S. A.
DLPARTN/IENT OF COMMUNITY&ECONOMIC DEVELOPMENT
TO: Nathan West
Director, Community and Economic Development
FROM: Ben Braudrick, Assistant Planner
DATE: June 8,2016
RE: Conditional Use Pert-nit—CUP 16-03
APPLICANT: Deana Volker
OWNER: Same
LOCATION: 512 East 3'Street
REQUEST: The creation of an Accessory Residential Unit in an RS-7,Residential Single Family
Zone.
RECOMMENATION:
The Planning Division recommends that the Director Approve CUP 16-03 with 4 conditions,citing 10
findings and 5 conclusions in support of that action as listed in Attachment A to this staff report.
EXISTING CONDITIONS IN AREA:
The subject property is located on 3r,street between Vin e and Albert Streets.Nearby lots are uniform in
size and dimension for the RS-7 zone.The subject site is a single lot that measures 140' in depth by 50' in
width, and is approximately 7000 square feet in area.No.environmentally sensitive areas exist on the site,
but the top of the Peabody Creek ravine is 150' from the southwest corner of the site.The site is accessed
from V street, which is an improved local access street, and through the 3'/4"Alley.The site is
developed with a single family residence with a detached garage and a second story.The application and
site maps are attached as Attachment C.
Development in the area consists of a mix of single family residences and accessory residential units.The
RS-7 zone is primarily a single family residential zone. Accessory Residential Units are allowable as a
conditional use in RS-7.
DEPARTMENT COMMENTS:
City departments reviewed the proposal and provided the following comments:
The Fire Department had no objections or comments.
The Public Works and Utilities Department commented
1. Four(4)off street parking spaces will be required
2. Separate electrical and water meters are required for each unit
The Building Division of the Department of Community and Economic Development will require a
building permit for any construction. Construction will be to IRC requirements.
Conditional Use Permit CUP 16-03 512 East I"Street Page 2
June 8,2016
PUBLIC COMMENT:
Notification of the proposed action was placed in the Peninsula Daily News on May 13, 2016,posted on
the site on May 10, 2016,and mailed to property owners with 300 feet of the subject property on May 10,
2016. No written comment was received during the public comment period which ended on May 27, 2016
ANALYSIS:
As indicated'in Table 1.1 below,the required setbacks and lot coverage conform to current regulations.
Table 1.1: Title 17.10 PAMC requirements and the existing and proposed conditions for CUP 16-03
RS-7 Zone Required Existing Proposed
Lot area 7,000 sq. ft. 7,000 sq. ft. No change
Lot width 50'Minimum 50' No change
Setbacks-Front/Rear 20'F / 10'R for accessory 20'F/20'R No change
structure
Side Setbacks TMinimum, 3' Rear 1/3 7'2"(west side) No change
for accessory structure
Lot Coverage 30%Maximum 27% No
Per PAMC 17.10.040(A), an accessory residential unit(ARU) requires a conditional use permit when
proposed in a residential single family zone. An ARU may be no larger than 50%the size of the primary
unit.
The single story primary residential structure occupies an area of 1206 square feet.The proposed ARU is
preexisting above a two car garage, and is 594 square feet in area.The ARU living space is 49%the size
of the primary residential unit,meeting the requirement of being less than 50%of the size of the primary
single family residence.
Table 1.2: Building Statistics
Primary Single Family Residence Footprint 1,206 sq, ft.
Existing Garage Building Footprint 672 sq. ft.
Primary Residence Living Space 1,206 sq. ft.
ARU Living Space 594 sq. ft.
Living Space Ratio Primary to Accessory 49%
Total Building Footprint 1,878 sq. ft.
PANIC 14.40.060(D)requires two(2)off street parking spaces for each residential unit, for a total of 4 off
street parking spaces.The proposed structure will provide adequate room for two vehicles within the
garage, and the equivalent of three spaces between the garage and the alley. Separate utilities will also be
required as a condition of approval.
The proposal is consistent with the relevant sections of the Port Angeles Municipal Code and the
Comprehensive Plan
Conditional Use Permit CUP 16-03 512 East I`Street Page 3
June 8,2016
ZONING CODE AND COMPREHENSIVE PLAN LAND USE MAP:
The Zoning Ordinance is the primary implementing ordinance for the Comprehensive Plan. It
establishes what types of uses are permitted in specific zones,definitions of uses,and minimum design
standards for such uses. Like the Comprehensive Plan,any project proposed in the City must be
consistent with the regulations of the zone in which it is located. The Zoning Map identifies the subject
property as RS-7 Residential Single Family. Surrounding properties are also zoned RS-7 Residential
Single Family. Specific sections applicable to accessory residential development in the RS-7 are listed
below for reference.
Port Angeles Municipal Code(PAMC)Section .17.10.010 states the purpose of the RS-7 Zone as"a
low density residential zone intended to create and preserve urban single family residential neighborhoods
consisting of predominantly single family homes on standard Townsite-size lots. Uses which are
compatible with and functionally related to a single family residential environment may also be located in
this zone..."
Port Angeles Municipal Code(PAMC)Section 17.08.040(A)establishes that accessory residential
units are permitted in the RS-7 zone by conditional use permit.
.PAMC Section 1.7.08.010(B)defines an Accessory Residential Unit as"a dwelling unit which is
incidental to a detached single family residence, is subordinate in space(i.e., fifty percent or less space
than the single family residential use),and is located on the same zoning lot as the single family
residence. An accessory residential unit is served by water and electrical service that is separate from the
primary residential service and has a separate address."
PAMC Section 17.08.025(J)defines a dwelling unit as"one or more rooms which are arTanged,
designed, or used as living quarters for one family only. Individual bathrooms are not necessarily
provided,but complete single kitchen facilities,permanently installed, shall always be included for each
dwelling unit."
The Comprehensive Plan establishes the long range goals and policies of the City. Any project
proposed in the City must be consistent with the goals and policies of the Comprehensive Plan. The
Comprehensive Plan Land Use Map identifies the site as being in the North Central Planning Area and
designates the site as being Low Density Residential. The Comprehensive Plan's policies have been
reviewed with regard to the proposed application and the policies identified in Attachment B to this staff
report are found to be the most relevant to the proposal.
Single family and multi-family residences are legitimate components of district development. The
proposal would allow for a density that is in compliance with low density residential areas.
STATE ENVIRONMENTAL POLICY ACT(SEPA)RE VIEW:
A Detemlination of Non-Significance was issued by the City's Responsible Official oil June 8, 2016, for
the regard to the proposal.This satisfies the City's responsibility under the State Environmental Policy
Act(SEPA).
Attachments: A—Conditions,Findings,and Conclusions
B—Zoning Code Ordinance,Comprehensive Plan,and Other Municipal Code
C—Application
Conditional Use Permit CUP 16-03 512 East t"Street Page 4
June 8,20 t 6
ATTACHMENT"A"
CONDITIONS, FINDINGS, AND CONCLUSIONS
Conditions:
I. Separate electrical meters are required for each dwelling unit. Addressing for each dwelling unit
shall be clearly identified as 512 and 512'/2 East 3' Street. Address numbers must be atleast six
(6)inches in height and readily visible from the street and of contrasting color from their
background.
2. Two(2)off-street parking spaces are required for each residential dwelling unit for a total of four
(4)spaces. Parking spaces shalt be constructed to Public Works and Utilities Department
standards.
3.- Driveway and site access shall be constructed to Public Works and Utilities Department
standards.
4. All utility improvements including water, sanitary sewer, storm drainage and electrical are to be
completed to the satisfaction of the Public Works and Utilities Department. Separate water and
electric meters are required for the Accessory Residential Unit.
:J�ndin
Based on the information provided in the Community and Economic Development Staff Report for CUP
12-02 dated July 25, 2012, including all information in the public record file,comments and testimony
presented during the public hearing, the Planning Commission discussion and deliberation, and the above
listed conditions of approval, the City of Port Angeles Planning Commission hereby finds that:
I. Deana Volker submitted a conditional use permit application for an accessory residential unit on
April 29, 2016.
2. 17.080.01 O(B)PANIC defines an Accessory Residential Unit(ARU)as "A habitable unit added
to, created within, or detached f�om a primary single-
fL7mily residen tial divelling that provides
basic requirementsfir living sleeping, eating cooking, and sanitation as outlined b-y the
International Residential Building Code. An accessory residential unit(ARU)is incidental to a
detached primary single-
.family residence, is 50 percent or less space than the primary residential
use, and is located on the same zoning lot as the single-family residence. An accessory residential
unit is served by water and electricalservice that is separateftom the primary residential service
and has a separate address. " Section 17.10.040(A) PAMC provides that accessory residential
units are allowed as a conditional use in the RS-7, Single Family Residential zone
3. The proposed site is legally described as Lots 12 and 13, Block 65 of the Townsite of Port
Angeles.The site is located at 512 East Yd Street and is development with a single family
residential structure and a detached garage structure with upstairs living area currently associated
with the primary residence. No additional lot coverage will result from the remodel. All
improvement will be to the interior to the structure.The primary residential unit contains 1,206
square feet of living area with the proposed ARU being 594 square feet of living area,or 49%of
the size of the primary unit. Existing structures area in compliance with development standards
specified in the RS-7, Single Family zone.
4. The site is zoned RS-7,Residential Single Family and is 7,000 square feet in area.
5. The site is located on the south side of East Yd street east of Vine Street in the City's North
Central Planning Area. Development in the neighborhood includes predominantly single family
residences and accessory residential units.The Comprehensive Plan land Use Map designates the
site as Low Density Residential. Adjacent designations are Low Density Residential as well.
Conditional Use Permit CUP 16-03 512 East I`Street Page 5
June 8,2016
6. Per 14.40.0.060(D)PAMC requires that residential uses throughout the City are required to
provide a minimum of two(2)off street parking spaces for each residential unit. Site
development provides four(4)off street parking spaces for the two(2)residential units.
7. Per 2.18.065(l)(B)the Director of Community and Economic Development is authorized and
directed to hear and decide Accessory Residential Unit ARU. A development that is approved
through the conditional use permit process must remain in continual compliance with specific
conditions of approval or may be revoked.
8. Site access must comply with Public Works and Utilities Standards. Access to the site is via 3'
Street and the 3'/4'Alley.Access to the primary use is via the Yd/4'Alley. Both access points
are improved rights-of-way.
9. Notification of the proposed action and conditional use permit application was paced in the
Peninsula Daily news of May 13,2016. Public notice was mailed to the property owners within
300 feet of the subject property on May 10, 2016. The site was posted on May 10,2016.No
comments were received during the written comment period.
Conclusions:
Based on the information provided in the Department of Community and Economic Development Staff
Report for CUP 16-03 dated June 8,2016,including all of the information in the public record file,public
comments,staff concludes that:
I As conditioned,the proposal is consistent with the intent of the Comprehensive Plan, specifically
with Land Use Element Residential Goal A and Policy A.2; and Goal C and Policy C.2,Housing
Element A.6 and B.6.
2. The application proposal is processed consistent with requirements for processing a conditional
use permit as specified in PAMC 17.96.050,and with the requirement for an accessory residential
unit as defined in the RS-7 zone per PAMC 17.10.040(A).
3. As conditioned,the proposal is consistent with PAMC Chapter 14.40(Parking Ordinance).
4. The use i s in the public interest as it allows for a variety of housing opportunities.
5. The City's responsibility under the State Environmental Policy Act in review of the proposal has
been satisfied by issuance of a Determination of Non-Significance#1377 on June 8,2016.
Nathan West, Director Date
Conditional Use Permit CUP 16-03 512 East I"Street Page 6
June 8, 2016
ATTACHMENT"B"
COMPREHENSIVE PLAN REVIEW:
The following policies appear to be the most relevant to the proposed project:
Land Use Element
Policy A 2: Al I land use decisions and approvals made by the City Council and/or any of its appointed
Corruirissions, Boards or Committees should be consistent with the Comprehensive Plan and its land use
map.
Goal C: To have a community of viable districts and neighborhoods with a variety of residential
opportunities for personal interaction, fulfillment and enjoyment, attractive to people of all ages,
characteristics and interests.
Policy C 2:.Residential land should be developed on the district and neighborhood concept. Although
such districts may be composed primarily of residential uses of a uniform density, a healthy,viable
district should be composed of residential uses of varying densities which may be augmented by
subordinate and compatible uses. Singlc family and multi-family homes,parks and open-spaces, schools,
churches,day care and residential services,home occupations,and district shopping areas are all
legitimate components of district development and enhancement. A neighborhood should be primarily
composed of low, medium, or high density housing.
Housing Elemen
Policy A.6: Accessory residential units should be allowed in certain residential zones, upon approval of a
Conditional Use Permit.
Policy B 6: Adequate low and moderate income housing opportunities should be provided within the Port
Angeles Planning Area.
ZONING CODE REVIEW:
The Zoning Ordinance is the primary implementing ordinance for the Comprehensive Plan. It
establishes what types of uses are permitted and where they may be located in the City. It also,
establishes definitions of uses, and minimum design standards for such uses. Like the
Comprehensive Plan, any project proposed in the City must be consistent with the regulations of
the zone in which it is located. The Zoning Map identifies the subject property as Residential
Single Family(RS-7).
The purpose and intent of the RS-7 zone is as follows:
"This is a low density residential zone intended to create and preserve urban singlefamily
residential neighborhoods consisting of'Predominantly singlefamily homes on standard
Townsite-size lots. Uses which are compatible with andJunctionally related to a single
family residential environment may also be located in this zone
Conditional Use Permit CUP 16-03 5t2 East I"Street Page 7
June 8,2016
PAMC 17.96.050 specifies procedures for the review and processing of conditional use permit
applications, as follows:
17.96.050 Conditional Use Permit
A. The Planning Commission shall consider applicationsfor Conditional Use Permits of
uses as specified in the applicable Chapter of'the Zoning Regulations. The Planning
Commission may grant said permits which are consistent and compatible with the purpose of the
zone in which the use is located, consistent with the Comprehensive Plan, and not contrary to the
public use and interest. The Planning Commission may reAse to issue a Conditional Use Permit
if the characteristics of the intended use as related to the specific proposed site are such as
would defeat the purpose of these Zoning Regulations by introducing incompatible, detrimental,
or hazardous conditions.
B. In each application the Planning Commission may impose whatever restrictions or
conditions they consider essential to protect the public health, safeiy, and we4fare, and to prevent
depreciation of neighboring property.
C. Purpose ofa Conditional Use Permit: The purpose of a Conditional Use Permit shall be
to assure that the maximum degree of*compatibility between uses shall be attained. The purpose
of these regulations shall be maintained with respect to the particular use of'the particular site
and in consideration ofother existing and potential uses within the general area in which such
use is to be located.
PARKING ORDINANCE
PAMC 14.40.Table A,requires 2 off-street parking spaces for each residence.
CITY OF PORT ANGELES
AFFIDAVIT OF MAILING
RE: CUP 16-03
1, Sarina Camizosa, state that on the 10" day of May 2016, 1 mailed said notice, a
true copy of which is hereto attached and made part hereof, to property owners
within 300 feet of the property proposed for a land use action pursuant to Section
17.96.140 of the Port Angeles Municipal Code.
AFFIAJ
Subscn*bed to me this day of 2015.
EN E
NOTARY PUBLIC for the State of
14
Washington, residing in Port Angeles
"00 0,
U3 0 dw
pus
F
filial%%,
CITY OF PORT ANGELES
AFFIDAVIT OF POSTING
RE: CUP 16-03
1, Ben Braudrick, state that on the 9th day of May 2016, 1 posted said notice, a
true copy of which is hereto attached and made part hereof, on the City's Public
Notice Bulletin Board.
AA f-171 A X7r
FFIANT
Subscribed to me this day of 2015.
g0j-'.4 N E
IV N&AR�PUBLIC for the State of
A
Washington, residing in Port Angeles
0
W
=02
� pu
OF
T/fonns/affidavit posting general
CITY OF PORT ANGELES
AFFIDAVIT OF POSTING
RE: CUP 16-03
1, JIM LIERLY, state that on the I oth day of May 2016, 1 posted said notice,
a-true copy of which is hereto attached and made part hereo ,m the property
�11
proposed for a land use action pursuant to Section 17.96440 the Port geles
0
Municipal Code. /� 7'
lit A?/�
YrIqx/// �.�
cl (IF
Subscn*bed to me this day of 'Mcl\l 2015.
mmu 0
e,#,14 E
1.4 cc NW7��RY 16LIC for the State of
SOO 0
PAY Washington, residing in Port Angeles
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OF
T:\FORMS\AFFIDAVITS OF POSTING\AFFIDAVIT OF POSTING JIM LIERLY.DOCX
CITY OF PORT ANGELES
NOTICE
OF
DEVELOPMENT APPLICATION
NOTICE IS HEREBY GIVEN that on April 29, 2016 a development application to construct
a garage with an accessory residential unit was submitted to the City of Port Angeles.. . The
application was determined to be complete on April 29, 2016. A public hearing will NOT be
conducted on the review. Although a public hearing will NOT be conducted, written public
comment is being solicited regarding the proposal. Written comments must be submitted to the
City Department of Community & Economic Development, 321 East Fifth St., P.O. Box 1150,
Port Angeles, Washington, 98362, no later than May 27, 2016. Application information may be
reviewed at the City Department of Community & Economic Development. Comments should
befactual to assist the reviewer in making an informed decision. City Hall is accessible to
persons with disabilities.
STATE ENVIRONMENTAL POLICY ACT:. It is anticipated that a determination of non
significance will be issued for the proposal following the 15 day comment period that will end on
MAY 27, 2016, per WAC 197-11-340(2).
APPLICANT: Deana Volker
LOCATION: 512 East 3 d Street
For additional information please call the City of Port Angeles Department of
Community & Economic Development at (360) 417-4750
Pub: 05/13/2016
Mailed: 05//10/2016
Posted: 05/09/2016
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JOAN L GLOOR JOHN P GERBERT JOHN P GERBERT
513 E THIRD ST 3933 EAGLE CT 510 E SECOND ST
PORT ANGELES, WA 98362 BLYTHE CA 92225 PORT ANGELES, WA 98362
JOHN Z MILLER III JOHN Z MILLER III JUAN M AND LISA E ARBALLO
738 WEST 6 TH 503 E THIRD ST 507 E THIRD ST
PORT ANGELES, WA 98363 PORT ANGELES, WA 98362 PORT ANGELES, WA 98362
LORENE WALTER LORENE WALTER MARSHA L KELLY
2900 ADAMS MILL RD NW APT S06 S01 E TH.I RD ST 3005 HICKORY ST
WASHINGTON DC 20009 PORT ANGELES, WA 98362 PORT ANGELES, WA 98362
MARSHA L KELLY MICHAEL AND TRACY HASTINGS MICHAEL D AND TOMI A ELLIOTT
S22 E FOURTH ST 508 E 3RD ST 324 S ALBERT ST
PORT ANGELES, WA 98362 PORT ANGELES, WA 98362 PORT ANGELES, WA 98362
NOBLE FAMILY REVOCABLE LIVING NOBLE FAMILY REVOCABLE LIVING NOBLE FAMILY REVOCABLE LIVING
PO BOX 1059 516 E THIRD ST 516-1/2 E THIRD ST
SEQUIM WA 98382 PORT ANGELES,WA 98362 PORT ANGELES,WA 98362
OLYMPIC MEDICAL CENTER PATRICIA GOSSAGE AND D R JONES PATRICK D MCCALL
939 CAROLINE ST 527 E 3RD ST 519 E 3RD
PORT ANGELES, WA 99362 PORT ANGELES,WA 99362 PORT ANGELES, WA 98362
PAUL A AND MAELING GRAVES RALPH BAY RANDALL B& DEANA M VOLKER
526 E THIRD ST 525 E 4TH ST 431 E FIFTH ST
PORT ANGELES, WA 98362 PORT ANGELES,WA 98362 PORT ANGELES, WA 98362
RANDALL B& DEANA M VOLKER RANDALL B& DEANA M VOLKER RANDALL B & DEANA M VOLKER
431 E FIFTH ST 514 E THIRD ST 512 E THIRD ST
PORT ANGELES, WA 98362 PORT ANGELES, WA 98362 PORT ANGELES, WA 98362
ROBERT S& M A O'NEILL EASH ROBERTS& M A O'NEILL EASH RODNEY & KAY DAVIDSON
336 HILLCREST DR 501 E FOURTH ST 534 E 2ND ST
PORT ANGELES, WA 98362 PORT ANGELES, WA 98362 PORT ANGELES, WA 98362
RODNEY& KAY DAVIDSON RODNEY DAVIDSON RODNEY DAVIDSON
520 E SECOND ST 610 E 5TH ST 302 S ALBERT ST
PORT ANGELES, WA 98362 PORT ANGELES, WA 98362 PORT ANGELES, WA 98362
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ERIC M AND MEGAN S DAVIS ALEXANDER W AND ANDIE M ROOD BLUE DOOR RENTALS LLC
520 E 4TH ST 518 E 3RD ST 10621 WILKINS AVE
PORT ANGELES, WA 98362 PORT ANGELES, WA 98362 LOS ANGELES CA 90024
BLUE DOOR RENTALS LLC BLUE DOOR RENTALS LLC BONNETTE BAUMGARDNER
531 E FOURTH ST 531-1/2 E FOURTH ST 503 E 4TH ST
PORT ANGELES, WA 98362 PORT ANGELES, WA 98362 PORT ANGELES, WA 98362
BRANDO S BLORE BRANDO S BLORE CARIE R METCALF
PO BOX 3029 505 E FOURTH ST 216 SO VINE ST
PORT ANGELES, WA 98362 PORT ANGELES, WA 98362 PORT ANGELES, WA 98362
CHARLES F LYONS CHARLES R FOREMAN & LYNN C CHARLES R FOREMAN AND LYNN C
S08 E SECOND ST MORGAN MORGAN
PORT ANGELES, WA 98362 1335 9TH AVENUE SW 222 S VINE ST
ALBANY OR 97321 PORT ANGELES,WA 98362
CHRYSTINA G BRUNEAU CHRYSTINA G BRUNEAU CITY OF PORT ANG E LES
23912 NE GREENS CROSSING RD S30 E THIRD ST PO BOX 1150
REDMOND WA 98053 PORT ANGELES, WA 98362 PORT ANGELES,WA 98362-0217
CITY OF PORT ANGELES CITY OF PORT ANGELES CLALLAM COUNTY HOSTELRIES INC
PO BOX 1150 PO BOX 1150 PO BOX 2199
PORT ANGELES, WA 99362-0217 PORT ANGELES, WA 98362-0217 PORT ANGELES,WA 98362
CLALLAM COUNTY HOSTELRIES INC FRANCES M MITCHELL GREGORY VOLKER
513 E FOURTH ST SO4 E THIRD ST 306 S VINE ST
PORT ANGELES, WA 98362 PORT ANGELES, WA 98362 PORT ANGELES,WA 98362
HERBERT LEE RUSSELL JAKE RAND JACKLYN N PURVIS JANELONGO
511 E 4TH ST 517 E FOURTH ST 502 E 3"
PORT ANGELES, WA 98362 PORT ANGELES, WA 98362 PORT ANGELES, WA 98362
JASON S&CONNIE L VANZANT JASON S&CONN I E L VANZANT JEFFREY A& MARGARET M MORFITT
332 PARK PLACE DRIVE .530 E FOURTH ST 2835 MORRIS AVE S
PETALUMA CA 94954 PORT ANGELES, WA 98362 RENTON WA 98055
JEFFREY A& MARGARET M MORFITT JENNY M RUSSELL JOAN L GLOOR
309 S VINE ST 518 E 4TH ST 826 BLACK DIAMOND RD
PORT ANGELES; WA 98362 PORT ANGELES, WA 98362 PORT ANGELES,WA 98363
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RUTH ANN TOMPKINS RUTH ANN TOMPKINS RYAN M FRASER
PO BOX 1177 523 E FOURTH ST S14 E 2ND ST
PORT ANGELES, WA 98362 PORT ANGELES, WA 98362 PORT ANGELES, WA 98362
SANDRA MARIE CAUDILL SANDRA MARIE CAUDILL STUART T SMITH
1329 W 10TH ST 535 E THIRD ST 4524 S REDDICK RD
PORT ANGELES, WA 98363 PORT ANGELES, WA 98362 PORT ANG E LES, WA 98363
STUART T SMITH THELMA DURHAM, THELMA DURHAM
509 E FOURTH ST 112 RESERVIOR RD 516 E SECOND ST
PORT ANGELES,WA 98362 PORT ANGELES, WA 98363 PORT ANGELES, WA 98362
THOMAS A WATSON THOMAS AND KAREN MITCHELL
S23 E 3RD ST 209 S VINE ST
PORT ANGELES, WA 98362 PORT ANGELES, WA 98362
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A PPLICA TION FEES. OFFICE USE ONLY
Standard CUP $500&$350 Date Rec'd
SEPA=$850 flL)v
File 9
Administrative CUP (retail HTE 9 A� IA
stand, home occupations, B &B) CONDITIONAL USE PERMIT Received bl;- /4/
$200 &S 125 SEPA =$325 APPLICATION
**IMPORTANT GENERAL INFORMATION *PLEASEREAD **
Only completed applications will be accepted. To be considered complete, an application must include
all of the following information:
I. A completed application signed by the applicant and the property owner(if different than the
applicant).
2. A completed Environmental Checklist signed by the applicant.
3. A vicinity map showing the site in relationship to surrounding properties.
�1� 4. A site plan with dimensions showing all property lines, setbacks, existing and proposed
structures, parking spaces, and significant vegetation.
5. Interior floor plans for each floor of any structure to be used for the proposed activity.
6. Exterior building elevations for each side of any building that will be constructed for the
proposed use.
z"
7-) Hailing labels and list ofproperty owners within 300'of the proposed site. Alist
ofproperty owners may be obtainedfrom the County Assessor's Office.
8. Application fees
It is important to be accurate and complete with the information regarding all aspects of your
project. The Planning Commission's decision will be based on the information contained in this
application and, if approved, will be limited to the proposal as presented and potentially conditioned.
Changes to yourprojectftom what is submitted may result in delay ofyourproject review so try to be
thorough. Certain proposals are decided administratively, such as retail stand permits, home
occupations, and bed and breakfast uses. These permits do not require a public hearing process. All
other conditional use permits require review through a public hearing.
'Z
Please do not hesitate to ask if you have mny questions regarding the permit process, time
periods, or restrictions of certain applications. Planning Department personnel may be reached at
Z 417-4750 between the hours of 8 a.m. and 5 p.m. Monday through Friday.
PLEASE NOTE: Someone must be present during the public hearing to respond to any questions
that may be raised and to ensure an understanding of any conditions that may be imposed.
....................................................................................................................................... ------------------------------------
NOTES(FOR YOUR USE):
*File #
APPLICANVOWNER INFORMATION:
Applicant: 1)ea Y\o, Vo I Ke�-
Applicant Address: qst E 6 -�k S+ P6c:� 993�p2_
Daytime phone #: b �9_9 -Zt)_q2yy-mail V6 IkQ (- Q Mal (e) Y),A
Applicant's representative (if other than applicant):
Contact Address:
Daytime phone 4: E-mail
Property owner (if other than applicant):
Address: Contact phone
PROPERTY INFORMATION:
Street address: '25 1 ?_ e s c Zoning:
Legal description: LA5 6LIo5 PSCC SLk6lo+ 23__VI
Property dimensions: 5 0 x I go -Property area (total square feet): C>0 0
Physical characteristics (i.e., flat, sloped, vacant, developed, etc.): E! I/),p E?
-�,, n'i s �iecl
L,'-f 5
�)p Lk5e— Lk:S 1 2 Caf gN,( e, L'01
PROPOSED USE:
Please describe the proposed conditional use: Cle�51 e n+
0, Lkoe.-.4oir5 o-�
11 rA e�
(J C_j
Number of employees: Hours of operation:_T�
Number of on-site parking spaces: 4-ef i o T-,
Total square foot of floor area for the proposal: :5 �/�Aite coverage:
SIGNATURES
Applicant: Date:
I certify that all of the above statements are true and complete to the best of my kno V14edge and
acknowledge that wilful misrepresentation of information will terminate this permit application.
Applicant Signature Date:
(If the applicant is NOT the property owner, the property owner must sign this application or
provide a separate note that helshe islare aware of the application).
Owner's Signature (if other than applicant):
Signature Date
TAF0RMS\APPS\CUP.D0CX
EXISTING CONC. 0 30'.-6"
WALK 9 SF E.THIRD ST.
,EXISTING 26'-6" 18'-7" XISTING
STAIRS 19 SF SIDEWALK
A
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AND PLANTING
EXISTING STRIP
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FENCE
4' 16'
PROPOSED
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CONC. WALK
PROPOSED 59SF
2-STORY
2-CAR GARAGE Vd 111
& STORAGE
672 SF FOOTPRINT�—
co
ROPOSED
CONC. APRON
SX 24' =72 SF
120— E—A.,
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Filing Fee: 350.00
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1
PORTANGELES Admin. 125.00
WASH INGTON, U. S. A.
CITY OF PORT ANGELES
ENVIRONMENTAL CHECKLIST
Purpose of Checklist:
-----------------Chapter--48.-21C--RC-W-the--State--Environniui tal--Poficy--Act-�SEPA)--requires--all-
governmental agencies to consider the environmental impacts of a proposal before making
decisions. The purpose of this review is to provide information to help you and the reviewing
agency identify impacts that may result from your proposal and to identify methods to reduce or
avoid impacts from the propos al if,they exist. The review will help the agency decide whether
further information is necessary or whether an environmental impact statement (EIS) is
necessary.
Instructions for Applicants:
This environmental checklist asks you to describe some basic information about your
proposal. Answer each question to the best of your knowledge with the most precise
information known. Provide the best descriptions you can. In most cases you should be able to
answer the questions from your own observations or project plans without the need to hire
experts. If you do not know the answer, or if a question does not apply to your proposal, write
"do not know" or "does not apply (N/A). Complete answers to the questions will avoid
unnecessary delays later.
Some questions ask about governmental regulations, such as zoning, shoreline, and
landmark-designations. Answer these questions if you can. If you have problems please ask
the City Department of Community & Economic Development employees to assist you.
The checklist questions apply to all parts of your proposal, even if you plan to phase them
over a period of time or on different parcels of land. If phasing is proposed, please provide that
infori-nation in Item 11, the description section. Attach any additional information that will help
describe your proposal or its environmental effects and include a site map.
BACKGROUND
1. Name of project: VMKer
A. Address or general location of site: 5 12. F, -3 rA C3 A'M e (,k 5. ct fS
4
2. Name, address, phone number, and e-mail address (if available) of applicant-
Tearo, WKfr, 43i F_ vvi5i. ?.A. WA jg3(02 ) &P19-q2�D-9 2q 4 , Qtv,,I AR, oq
3. Name, address, phone number, and e-mail address (if available) of contact @�VncLi I -
person if other than applicant: ce)M
4. Date checklist prepared:
5. Agency requesting checklist: CITY OF PORT ANGELES
Environmental Checklist EVALUATION FOR
Page 2 AGENCY USE
6. Proposed timing or schedule (including phasing, if
applicable):
A. What is the long term objective of this proposal?
2-
B. How does this proje�cGrelate to long-term plans.? �tk+L&ICe
7. Do you have any plans for future additions, expansion, or
further activity related to or connected with this proposal? If
-- yesf-explain.-- -
8. List any environmental information you know about that has
been prepared, or will be prepared, directly related to this
proposal: iq)A
9. Do you know whether applications are pending for
governmental approvals of other proposals directly affecting
the property covered by your proposal?
If yes, explain.
10. List any government approvals or permits that will be needed
for your proposal, if known. d o n o-� Kr o Lk-)
11. Give brief, complete description of your proposal, including
the proposed uses and the size of the project and site. There
are several questions later in this checklist that ask you to
describe certain aspects of your proposal. You do not need to
repeat those answers on this page. (Lead agencies may modify
this form to include additional specific information on project
description.)
I K'CLA QL Zacu�
11.0 -6
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CX
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Environmental Checklist EVALUATION FOR
Page 3 AGENCY USE
12. Location of the proposal. Give sufficient information for a
person to understand the precise location of your proposed
project, including a street address, if any, and section, township,
and range, if known. If a proposal would occur over a range of
area, provide the range or boundaries of the site(s). Provide a
legal description, site plan, vicinity map, and topographic map, if
reasonably available. While you should submit any plans
required by the agency, you are not required to duplicate maps
or detailed plans submitted with any permit applications related
A.- 11-: -- ---- ------ --- ---- ---------
LUAl 11s -- --- - ---- - - - ------ ------------- ----
2, A + pc),r yine-) e,--,
4a 6 00 �42 D+
PROJECT SPECIFIC ACTIONS:
Complete this section if your proposal involves a project
specific action such as a subdivision, new construction, a new
or expanding business, a site specific rezone (not area-wide), a
conditional use permit, a shoreline permit, or similar action:
ENVIRONMENT
1. Earth
A. General description of the site (circle one):
Flat' rolling hilly, steep slopes, mountainous,
other
B. What is the ste pest slope on the site (approximate
percent slope)? I �i TA
C. What general types of soils are found on the site (for
example, clay, sand, gravel, peat, muck)? If you know the
classification of agricultural soils, specify them and note any
prime farmland. c�6 y)b+ �_YIDW
D. Are there surface indications or history of unstable
soils in the immediate vicinity? If so, describe.
E. Describe the purpose, type, and approximate
quantities of any Filling or grading proposed. Indicate
source of fill: n b n e- (9,-p p a,�e yx+
F. .Could erosion occur as a result of clearing,
construction, or use? If so, generally describe.
4,
6ej 'eve to
Environmental Checklist EVALUATION FOR
Page 4 AGENCY USE
G. About what percent of the site will be covered with
impervious surfaces after project construction (for exampl?,'
asphalt or buildings�? r) 6 "o- VJ n�-'-i-rtKctio Y1
+ rr i ++-P-8 5 1 r LA c-4 LA
H Proposed meas es to redu:1 gr control erosion, or
other impacts to the earth, if any: ]A
2. Air
A. What types of emissions to the air would result from
------------ --the-proposaV(i.-e-.1-d-ust,-autoTnobile,-odors,-industrW-wood---- -------------- --- ----- ------7
smoke) during construction and when the project is
completed? If any, generally describe and give
approximate quantities if known.
noyW
B. Are there any off-site sources of emissions or odor
that may affect your proposal? If so, generally describe.
C. Proposed measures to reduce or control emissions
or other impacts to qi� if any:
3. Water
A. Surface water:
L) Is there any surface water body on or in the
immediate vicinity of the site (including year-round and
seasonal streams, saltwater, lakes, ponds, wetlands)? If
yes, describe type and provide names. If appropriate,
state what stream or river it flows into.
no
ii.) Will the project require any work over, in, or
adjacent to (within 200 feet)the described waters? If
yes, please describe and attach available plans. r)1A
iii.) Estimate the amount of fill and dredge material that
would be placed in or removed from surface water or
wetlands and indicate the area of the site that would be
affected. Indicate the source of fill material:
iv.) Will the proposal require surface water withdrawals
or diversions? Give general description, purpose, and
approximate quantities if known.
Environmental Checklist EVALUATION FOR
Page 5 AGENCY USE
v.) Does the proposal lie within a. 1 00-year floodplain?
If so, note location on the site plan.
vi.) Does the proposal involve any discharges of waste
materials to surface waters? If so, describe the type of
waste and anticipated volume of discharge. c)
----- ------------B.----Ground-water:- - -- ---- ---- -- ---------- ------------- -- --------------- --- -- --------- - - -
i.) Will ground w ater be withdrawn, or will water be
discharged to ground water? Give general description,
purpose, and approximate quantities if known.
D
ii.) Describe waste material that will be discharged
into the Ground from septic tanks or other sources, if any
(for example: Domestic sewage; industrial, containing
chemicals; agricultural wastes; etc.). Describe the
general size of the system, the number of such systems,
the number of houses to be served (if applicable), or the
number of animals or humans the system(s) are
expected to serve.
C. Water Runoff(including storm water):
i.) Describe the source of runoff(including storm
water) and method of collection and disposal, if any
(include quantities, if known). Where will this water flow?
Will the water flow intb other waters? If so, describe.
Y� Lk)&�e T 4e ft) +
af'mn � YAX 2'f-0,-qe\\ea 3tkf Ckc --e
ii.) Could waste materials enter ground or surface
waters? � D
If so, generally describe how and what.
D. Proposed measures to reduce or control surface,
ground, and runoff water impacts, if any: 91A
Environmental Checklist EVALUATION FOR
Page 6 AGENCY USE
4. Plants
A. Check or circle the type of vegetation found on the
site:
deciduous tree: alder, maple, aspen, other
evergreen tree: fir, cedar, pine, other
shrubs
grass
pasture
crop or grain
wet builrush--skunk cabba-ge----------- ----- -------- -- --
-soil-planls�-cattall-,-buftercup, I
water plants: water lily, eelgrass, milfoil, other
Other types of vegetation
B. What kind and amount of vegetation will be removed or
altered? ntme - v)
C. Proposed landscaping, use of native plants, or other
measures to preserve or enhance vegetation on the site, if
any.
5. Animals
A. Circle any birds and animals which have been
observed on or near the site or are known to be on or near
the site:
Birds: hawk, heron, eagle, songbirds, other N C)I'L
Mammals: deer, bear, elk, beaver, other Je_-e f-
Fish: bass, salmon, trout, herring, shellfish, other none
B. Threatened or endangered species known to be on
or near the site. av no+- Kyi i) u-)
C. Is the site art of a migration route? If so, explain.
0 r)()+� K Y-�1)VJ
D. Proposed measures to preserve or enhance wildlife.
1-\c)y)e, oqpea(-s -�b b-o- ne4?d
6. Energy and Natural Resources
A. What kinds of energy (electric, natural gas, oil, wood
stove, solar) will be used to meet the completed project's
energy needs? Describe whether it will be used for heating,
manufacturing, etc. e, e
Environmental Checklist EVALUATION FOR
Page 7 AGENCY USE
B. Would your project affect the potential use of solar
energy by adjacent properties? If so, generally describe.
0 D
C. What kinds of energy conservation features are
included in the plans of this proposal? List other proposed
measures to reduce or control energy impacts, if any.
b S;
-------- - -
A. Are there any environmental health hazards,
including exposure to toxic chemicals, risk of fire and
explosion, spill, or hazardous waste, that could occur as a
result of this proposal? If so, describe. AD
i) Describe special emergency services that might be
required. Y,YJ
con
ii) Proposed measures to reduce or,
environmental health hazards, if any.
B. Noise
.i) What types of noise exist in the area which may
affect your project (for example: traffic, equipment,
operation, other)? no"5-r' b"'i, �,Nyk�
ii) What types and levels of noise would be
created by or associated with the project on a short-term
or a long-term basis (for example: traffic, construction,
operation, other)? Indicate what hours noise would come
from the site. n b "I yl e a t)-e-
iii) Proposed measures to reduce or control
noise impacts, if any:
8. Land and Shoreline Use
A. What is the current use of the site and adjacent
properties? (- .5-,c.)e y� 1 0,
4e 1 +1
B. Has the site been used for agriculture? If so, describe.
tk YX 11�_yi C) LA-)Y\
C. Describe an structures on the site.
5 -R V)otoej
D. Will any structures be demolished? If so, what?
n o
E. What is the current zoning classification of the site?
Environmental Checklist EVALUATION FOR
Page 8 AGENCY USE
0 0
F What is the current Comprehensive Plan designation of the
site?
G. What is the current Shoreline Master Program designation of
the site? u,
H. Has any part of the site been classified as an "environmentally
-sensitive"�area�'( -if so-,sp e- Cify.- _-__--- --
k K--- -- -- ----- ------- ----- --- -- - -- ---- ------- - - --- - - -
I. How many people would reside or work in the completed
project? LkV +o 2-
J. Approximately how many people would the completed project
displace?
K. Proposed measures to avoid or reduce displacement impacts, if
any:
L Proposed measures to ensure the proposal is compatible with
existing and projected land uses and plans, if any: none AeeAe�
9. Housing
A. Approximately how many units would be provided, if
any? t
Indicate whether high, middle, or low-income housing.
R Yk )�
B. Approximately how many units, if any, would be
eliminated?
Indicate whe�t��erhigh, middle, or low-income housing.
YA
C. Proposed measures to reduce or control housing
impacts, if any.
In o rke e e
Environmental Checklist EVALUATION FOR
Page 9 AGENCY USE
10. Aesthetics
A. What is the tallest height of any proposed
structure(s), not including antennas; what is the principal
exterior building material(s) proposed?
Y)(D r\,o W Co Y� 51 CtKc C)Y\
B What views in the immediate vicinity would be
altered or obstructed? 10
C. Proposed measures to reduce or control aesthetic
impacts, if any. N 1A
11. Light and Glare
A. What type of light or glare will the proposal
produce? What time of day would it mainly occur?
Y-1 o +
nA 0I
S i nli 15 P000 +�e-cY T- 1- 0
B. Could light or lare from the finished project be a
safety hazard or interfere with views?
YJ D
C. What existing off-site sources of light or glare may
affect your proposal? o Y)-42
D. Proposed measures to reduce or control light and
glare impacts, if any. n'0 o'e'e-Je(3
12. Recreation
A. What designated and informal recreational
opportunities are in the immediate vicinity?
Reo,bo d� Cf-.ee L Tco,'�
B. Would the proposed project displace any existing PM
recreational uses? If so, describe. nc)
C. Proposed measures to reduce or control impacts on
recreation, including recreation opportunities to be provided
by the project or applicant, if any.
-e-e-3 -e
Environmental Checklist EVALUATION FOR
Page 10 AGENCY USE
13. Historic and Cultural Preservation
A. Are there any places or objects listed on, or
proposed for, national, state, or local preservation registers
known to be on or next to the site? If so, generally
describe:
B. Generally describe any landmarks or evidence of
historic, archaeological, scientific, or cultural importance
----- -------- ---known-to-be�on-or-n ext-to-the site- - - ---- --- ----------- --- ---- ------ ---- - - ------ ---- -- -- ------ ---
rJ ()0-\O--
C. Proposed measures to reduce or control impacts, if
any: f) L) YJ \0 n -e -4P 3-e c�
14. Transportation
A. Identify public streets and highways serving the site
and describe proposed access to the existing street system.
Show on site plans, if any.
F— 3 ra 3t
,41 ) ,e,� be+We-42y) F- �3
B. Is site currently served by public transit? If not, what
is the approximate distance to the nearest transit stop?
C) YJ V,Y�() Lu Y\
C. How many parking spaces would the completed
project have? How many would the project eliminate?
D. 'Will the proposal require any new roads or streets,
or improvements to existing roads or streets, not including
driveways? If so, generally describe (indicate either public
or private).
E. Will the project use (or occur in the immediate
vicinity of) water, rail, or air transportation? If so, generally
describe. . nD
F. How many vehicular trips per day would be
generated by the completed project? If known, indicate
when peak volumes would occur.
W Y\
Environmental Checklist EVALUATION FOR
Page AGENCY USE
0
G. Proposed measures to reduce or control
transportation impacts, if any.
UkA IC Y\ D W V\'
15. Public Services
A. Would the project result in an increased need for
public services (for example?: fire protection, police
protection, health care, schools, other)? If so, generally
describe.
B. Proposed measures to reduce or control direct
impacts on public services, if any. n o yk-e y),ee
16. Utilities
A. ,Pircletutilit,escurre I availabl atthesite:
(��I��al ater fuse service telephone,
rsan-Tiary sewer,peptic system, other.
B. Describe the utilities that are proposed for the
project, the utility providing the service, and the general
construction activities on the site or in the immediate vicinity
which might be needed. P�0 yl -e f-ri�P-+
Ve v f
9 .'0 e- a Q +e r yr ), ri e +-e yl A y1+
17. Economics
A. If the proposal will result in expansion of an existing
business, please describe the nature of the expansion:
(e.g., additional land and/or buildings, new equipment, new
employees).
B. If the proposal is the creation of a.new business,
please describe (e.g., re-use of an existing building and
site, construction of a new building).
X 1A
C. Describe if the proposal is the first of its type in the
community, or what the similar uses are.
Environmental Checklist EVALUATION FOR
Page 12 AGENCY USE
D. How many people will the proposal provide
employment for at its completion and what types of jobs will
be created (e.g., sales clerks, factory workers, etc.)? (Jobs
created by the construction of the proposal should be
reported separately.)
E. Where will the materials, goods or services utilized
-- ---------by-the-proposal-come frorn?-
F. Where will the goods or services produced by the
proposal be utilized?
G. Who will utilize the goods or services produced by
the proposal?
H. Will the proposal alter the tax assessments of the
area? 01-14 �J e U YA Y\D
Environmental Checklist EVALUATION FOR
Page 13 AGENCY USE
Endangered Species Act (ESA)
Supplemental Checklist
Answer to the best of your knowledge.
This checklist was developed to help project proponents and government
agencies identify when a project needs further analysis regarding potential
adverse effects on Endangered Species as required by the Endangered Species
Act (ESA). For our purposes, "ESA listed species" are anV species listed as
endangered, threatened, or being considered for listinq.
-- -------------- - --- --- -- --- --- --- -- -
This supplemental checklist is for all development within ESA Potential Impact
Areas, which include the following locations:
• Federal Emergency Management Act (FEMA) designated floodplain
.and/or floodway areas;
• Riparian Buffer Zones (RBZ) as described by the Dept of Natural
Resources 2007 stream typing system and WDFW's 1997 stream buffer
guidelines; and/or
• Channel Migration Zones (CMZ) plus 50' as identified according to Dept
of Ecology 2003).
If ESA listed species are present or.ever were present within the ESA Potential
Impact Area where your project will be located, your project has the'potential for
affecting them, and you must comply with the ESA. The questions in this
section will help determine if your proposed project could have an impact.
The Port Angeles regional watershed is an area where several
endangered species have historically been present. Please answer the
following questions to the best of your knowledge to assist the city in
determining if your project will have adverse impacts to ESA species or
their habitats.
Port Angeles Community and Economic Development Department staff can
provide technical assistance in answering the following questions in this
checklist. If necessary, the Washington Department of Fish and Wildlife
(WDFW) regional office can also provide information to help you answer these
questions.
PROJECT SPECIFICS: The questions in this section are specific
to the project and vicinity.
1. Do you know of any endangered species or WDFW priority
species on or in the vicinity of your project?
no
If yes, identify those species.
En4ronmental Checklist EVALUATION FOR
Page 14 AGENCY USE
2. Name of waterbody nearest to your project: Peabol� Qf-,O-je
3. What is the distance from your project to the nearest body of water?
> 5 b 0 -VeP- 4-
Often a buffer between the project and a stream can reduce
the chance of a negative impact to fish.
4. What is the current land use adjacent to the potentially affected
water body (developed including commercial, parking lots,
-- -- -- --- --residential,�pave U`andllbr-grave/ed sunfaces; agriculture,------ --- ---- ----- --- - - -- - -- ------ - --- --
forestry,
etc)?_ e n
5. What is the predominant vegetative cover between the project
and the potentially affected water body (dense forest,
woodland, scrub,
grasses,etc)? 5 + ree +S oold �& M-ef)
6. Is the project above a barrier to fish passage:
• natural permanent barrier (waterfall) Yes No X
• natural temporary barrier(beaver pond)Yes— No
• human-made barrier(culvert, dam) Yes— No
• other: Yes No:3�
• (explain):
If you answered yes to the questions above, describe the barrier
and source of
information: /v 1A-
7. If you answered yes to question 6 above, are there any
resident salmonid populations above the blockage? /V
Yes— No Don't know
8. What percent of the project will be impervious surface
(including pavement & roof area)?
Environmental Checklist EVALUATION FOR
Page 15 AGENCY USE
0 0
EISH MIGRATION: The questions in this section will help
determine if this project could interfere with the migration of
adult and juvenile fish. (Both increases and decreases in
water flows can affect fish migration.)
1. Does the project require the withdfawal of:
i. Surface water? Yes N o
Amount
Name of surface water body
-- -- -- -- --- - - ---- -- -- -- ---- --- -- - - -- - - -- -- - - --------- ------ - -
1 0
ii. Groundwater? Yes No
Amount
From where
Depth of well
(if you answered yes to any of the above questions, you
will need to contact the Washington Department of Fish
and Wildlife and the Washington Department of Ecology
to obtain appropriate approvals)
2. Will any water be rerouted? Yes— No
If yes, will this require a channel relocation? Yes— No
Please
describe:
3. Will there be retention or detention ponds? Yes No
If you answer yes, will this be an infiltration pond or a surface
discharge to either a municipal storm water system or a
surface water body? Yes No
If you answer "yes" to a surface water discharge, please give
the name of the waterbody that will receive the
discharge:
4. Will this project require the building of any temporary or
permanent roads? Yes No
(Increased road distance may affect the timing of water
reaching a stream and may impact fish habitat)
5. Are any new or replacement culverts or bridges proposed as
part of this project? Yes No
6. Will topography changes affect the duration/direction of runoff
flows? Yes No
Environmental Checklist EVALUATION FOR
Page 16 AGENCY USE
If yes, describe the
changes:
7. Will the project involve any placement of fill within the ESA
Potential Impact Area? Yes No
If you answered yes, describe expected impacts on flood
storage and/or flood conveyance and how these impacts will
either be avoided or
-- -mitigated- -
WATER QUALITY: The questions in this section will help
determine if this project could adversely impact water quality
for either surface or groundwater. Such impacts can cause
problems for listed species. (Water quality can be made
worse by runoff from impervious surfaces, altering water
temperature, discharging contaminants, etc.)
1 . Do you know of any problems with water quality in any of th
streams within ESA Potential Impact Areas? Yes No1X
(Information on impaired water bodies can be obtained from
Washington Department of Ecology)
If you answered yes,
describe:
2. Will your project either reduce or increase shade alonQ or
a waterbody? Yes No over
(Removal of shading vegetation or the building of structures
such as docks or floats often result in a change in shade).
If you answered yes, please
describe:
3. Will the project introduce any nutrients or other contaminants
(fertilizers, other waste discharges, or storm water runoff�jt
the waterbody? Yes N o /^,-,
4. Will turbidity be introduced to a water body by construcfio� 9f
the project or during operation of the project? Yes— N o '?�'
(in-water or near water work will often increase turbidity.) If
you answered yes, consult with Washington Department of
Ecology to ensure compliance with water quality regulations.
Environmental Checklist EVALUATION FOR
Page 17 AGENCY USE
5. Will your project require long term maintenance that could
affect water quality in the future, e.g., bridge cleaning, highway
salting, chemical sprays for vegetation management, clearipg
of parking lots? Yes No
If yes, please describe:
VEGETATION: The following questions are designed to
-- - ----- - - determine if the project-wiii affect-riparian-vegetation,-thereby,
adversely impacting salmon.
1 . Will the project involve the removal of any vegetation from the
stream banks I?I/
Yes No_,e�!,, If you answered yes, please describe the
existing conditions, and the amount and type of vegetation to
be removed:
If any vegetation is removed from a riparian area, a mitigation plan
will be required, please provide a copy of the plan if available.
Describe briefly what your proposed mitigation would consist
0 f.-
Environmental Checklist EVALUATION FOR
Page 18 AGENCY USE
NON-PROJECT SPECIFIC ACTIONS:
Complete this section only if your proposal involves a
non-project specific action such as a Comprehensive Plan
Amendment, Zoning Code Amendment, area-wide rezone (City-
wide or large sub-area),or other similar action:
When answering these questions be aware of to what
extent the proposal or the types of activities likely to result from
the proposal would affect the item at a greater intensity or at a
faster rate than if the proposal were not implemented. Respond
brieny and-in general-terms.
1. How would the proposal be likely to increase discharge to
water; emissions to air; production, storage, or release of
toxic or hazardous substances; or production of noise?
no o-e-
Proposed measures to avoid or reduce such increases:
2. How would the proposal be likely to affect plants, animals,
fish, or marine li fe? t)D 0 e-
Proposed measures to protect or conserve plants,
animals, fish, or marine life:
3. How would the proposal be likely to deplete energy or
natural resources? () D ne
Proposed measures to conserve energy and natural
resources:
4. How would the proposal be likely to use or affect
environmentally sensitive areas or areas designated (or
eligible or under study) for governmental protection; such
as parks, wilderness, wild and scenic rivers, threatened or
endangered species habitat, historic or cultural sites,
wetlands, floodplains, or prime farmlands? n o v, e,
Proposed measures to protect such resources or to avoid
or reduce impacts:
Environmental Checklist EVALUATION FOR
Page 19 AGENCY USE
5. How would the proposal be likely to affect land and
shoreline use, including whether it would allow or
encourage land or shoreline uses incompatible with
existing plans? fA o V)
Proposed measures to avoid or reduce shoreland and
land use impacts:
- - - -- --- - - - ---
6. How would the proposal be likely to increase demands on
transportation or public services and utilities?
0 Y\V 40, f t) 0 0 Q) -� Lk-+ '� � i-Lie� (2 Oct
+0 g tA, \ +I M' e— I 'Nr I r�) S f)Ck-<–-e
Proposed measures to reduce or respond to such
demand(s): f)6 )1 'e o ee� -e(�
7. Identify, if possible, whether the proposal may conflict with
local, state, or federal laws or requirements for the
protection of the environment. kii V'\
By affixing my signature hereto, I/we certify and declare under penalty of
perjury that the information furnished herein is true and correct to the best of my
knowledge and that I am the owner of the premises where the work is to be
performed or am acting as the owner's authorized agent. I further agree to hold
harmless the City of Port Angeles as to any claim (including costs, expenses
and attorney's fees incurred in the investigation of such claim) which may be
made by any person, including the undersigned, and filed against the City of
Port Angeles, but only where such claim arises out of the reliance of the City,
including its officers and employees, upon the accuracy of the information
provided to the City as a part of this application.
I further agree that City of Port Angeles staff may enter upon the subject
property at any reasonable time to consider the 'Merits of the application, to take
photographs and to post public notices.
SIGNED: M00kV\'-
DATE: PHONE: 6xqzo - 9zq4
Environmental Checklist EVALUATION FOR
Page 20 AGENCY USE
NOTE: Most applicants should have the information necessary to answer most
of the questions in this checklist. Additional information will need to be
obtained from local and state agencies if it appears that the project is likely to
affect ESA listed species.
RESOURCE AGENCIES:
Washington Department of Fish and Wildlife Website
http://wdfw.wa.gov
This site has useful information on fish habitat.
Washington Department of Ecology Website
- - - -- - -- - - - - - www.ecy.wa.-go
National Marine Fisheries Services Website
Evolutionarily Significant Unit(ESU) maps can be found at
www.nwr.noaa.go