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Home My WebLink About3626 S Aviation Pl - Building CITY OF PORT ANGELES c� _et DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 'MOW r 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001023 Date 9/16/11 Application pin number 324552 Property Address 3626 S AVIATION PL REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-07-1-1- 0250 -0000- Tenant nbr, name JOHN EVELYN WESTREM on your state excise tax form Application type description MECHANICAL APPL. PERMIT Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning INDUSTRIAL HEAVY Application valuation 1750 Application desc WOOD BURNING STOVE INSERT Owner Contractor JOHN EVELYN WESTREM TTES KATHOL CONSTRUCTION WESTREM REV LIVING TRUST 312 BIGELOW RD 1006 E BALBOA BLVD PORT ANGELES WA 98362 NEWPORT BEACH CA 92661 (360) 417 -5594 (360) 683 -3414 Permit MECHANICAL PERMIT Additional desc WOOD- BURNING STOVE INSERT Permit pin number 192799 Permit Fee 60.65 Plan Check Fee .00 Issue Date 9/16/11 Valuation 0 Expiration Date 3/14/12 Qty Unit Charge Per Extension BASE FEE 50.00 1 1.00 10.6500 EA ME- STOVE /FIREPLACE /MISC. APP. 10.65 W i V\ Fee summary Charged Paid Credited Due Permit Fee Total 60.65 60.65 .00 .00 Plan Check Total .00 .00 .00 .00 1 c) /p Grand Total 60.65 60.65 .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. VO n;: q xi< 10 b c 4---,,,L- r "1"lb. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDIING 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 IN CONSPICUOUS 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: c Walls W Ceiling (r FRAMING: N Joists Girders Under Floor rc� 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 1� ��t Wood Stove /Pellet /Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: 5 Footing Slab Blocking Hold Downs �U Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA. Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 C Planning 417 -4750 c Building 417 -4815 5 S T:Forms /Building Division /Building Permit 1: 8 '..N gli N H H 0 N 01 F PI W w X 0 E O X n w a 0 w RI F a w �r a Cr, H w m LC) sr m w LllM z N H rM 2 H CO N pi H b F o 0o CL m H X l0 HI r M PI 0 a a o 2 w X o f H x H H a F Q zz o a m a m w m w o 0 U w X w b x x W F u£ m a s m o a o F F. o o z ox H a H o F m a o a M UU X 2 N Z ai2 F F Pi w a w H „n H 0 2 a s w X a 01 N w w w m m a 2 2 H ,n F 2 H� O u N� o a F� 0 NLnUOX 0 w a a� H,fw HO0 H a 0 0 a 0 w a a oa mm 00,00Fww W 100 E Qa Eula£g a z a o H H aFOF a mHm o 2 3 U 3 N 0 44 F N H Z 0 m 5 I F>+ >+H z m a n, <a m a rn H w a C H w z w H N H a h co W 0 W r 0 Hi V) o0 w m.aa 11 o i 00 Hiw DZXZm 0 0 EHH HI H 0 N X E x m w o< M O X O o H O a N N O' S E W O m al a a a 0 tl a o z o w O F w w m -0 0 H a o z a Z E 0 o 11,>-. 0 z z z a a a m X u a. E 0 O a a a H z BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM (To be used for projects that do not require plan review.) C l Date Received 16-11 Permit U- Ioz-3 City of Port Angeles Please print in ink. Date Approved Attn: Building Permit Technician Approved by 321 E. 5th St., Port Angeles, WA 98362 360- 417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm Contact person: Phone: /6. 7 Property owner: r� vel o GI_ l/(_/ 5/ y 14'U f 5 Phone: Property owner's mailing address: W l2ev Livi 7" +'us 100 k l3a.lboc� e.(vcd h( �wo�C Be..ck q�G 3 i2 Contractor's business name: 1 v1, Phone: or property owners name if he/she s oing /overseeing the work) Contractor's mailing address: 37L.- 74-1— 5 All '362— Contractor's L &I license number: Exp iration d�tee: U TW OC-70 /CIS ,3 /3 Project Address: 3 2,6 701 Ag Project Type: e si J ect Yp dential o Comnl cial o Industrial o Multi- family Project Business Name: (for commercial, industrial, or multi family projects) The following permits are usually issued over the counter immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project. Re -roof: house garage other tear off re -roof lay over one layer Licensed contractor: Submit a copy of your re -roof bid. Project Valuation (labor materials, not including sales tax) Re -side: house garage other Project Valuation (labor materials, not including sales tax) Repair: (explain the project) Project Valuation *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project Valuation T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011) Page 1 of 2 Swimming Pool or Spa 24" deep): For prefabricated swimming pool or spa projects that do not require plan review: Obtain the City of PA handout entitled "Pools Spas" follow the requirements. Project Valuation Demolition: A demolition permit is needed when an entire building gets demolished. What will be demolished? house garage o other Note: some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. Agree to ensure that all utilities are /will be properly turned off (and capped off if needed) prior to demolition. Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to be demolished. Submit the map with this application. Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA) Demolition Permit Application. Contact ORCAA at 360- 417 -1466 to discuss whether or not an ORCAA Demolition Permit will also be needed. yes no Will the debris be going to the Regional Transfer Station in Port Angeles? yes No If yes, will a licensed contractor be taking it there? (1) If yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technician, now (or later if asbestos testing is needed). Plumbing Permit: (explain the project) Project Valuation Mechanical PerTit: (e plain the project) GZ/voc feve J Se✓ 1 pe �/L r�5�al /et /`est. A/i^� pe ..r,,,, /r O //a 4 �r ,:9 47 >Y'e.c- 71— __„10 X i h P ,c-1, d 1/1, Project Valuation $/76 .-.2-5----) I have read and completed this 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 working on projects. 4 Date T A, Signature f A Print Name ra it, A /a 7 1-1 1-0 1 Page 2 of 2 Clallam County Assessor Treasurer Property Details 63545 JOHN AND EVELYN Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 63545 JOHN AND EVELYN WESTREM TTES for Year 2011 2012 Property Account Property ID: 63545 Legal Description: N 5A OF E 10A OF S 20A GOV LOT 6 EXC R/W 3.20A Geographic ID: 0630071102500000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 63 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N i± Township: Section: Range: Location Address: 3636 S AVIATION PL Mapsco: PORT ANGELES, WA Neighborhood: x ref Cycle 4 Comm Map ID: 3 Neighborhood CD: 20950140 Owner Name: JOHN AND EVELYN WESTREM TTES Owner ID: 59275 Mailing Address: WESTREM REV LIVING TRUST Ownership: 100.0000000000% 1006 E BALBOA BLVD NEWPORT BEACH, CA 92661 -1312 Exemptions: Taxes and Assessment Details Property Tax Information as of 09/16/2011 Amount Due if Paid on: M. NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due Statement Details 2011 157714 $2487.14 $2487.07 $0.00 $0.00 $2487.14 $2487.07 Statement Details 2010 46003 $2489.51 $2489.54 $0.00 $0.00 54979.05 $0.00 Values Taxing Jurisdiction Improvement Building Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented with "N /A Website version: 9.0.32.2200 Database last updated on: 9/16/2011 4:12 AM 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop_id =63545 9/16/2011 PREPARED 7/19/10 8 25 06 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/19/10 ADDRESS 3626 S AVIATION PL SUBDIV CONTRACTOR HATHAWAY CONSTRUCTION INC PHONE (360) 457 5627 OWNER JOHN /EVELYN WESTREM TRUSTEES PHONE (360) 683 3414 PARCEL 06 30 07 1 1 0250 0000 APPL NUMBER 10 00000614 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 7/19/10 BLDG FINAL July 16 2010 3 16 29 PM 1pangrle RON 457 5627 OR 460 5143 BUILDING FINAL RE ROOFED THE HOUSE COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 10 00000614 Application pin number 102670 Property Address 3626 S AVIATION PL ASSESSOR PARCEL NUMBER 06 30 07 1 1 0250 0000 Application type description RE ROOF Subdivision Name Property Use Property Zoning INDUSTRIAL HEAVY Application valuation 3652 Application desc TEAR OFF RE ROOF THE HOUSE Owner Contractor JOHN /EVELYN WESTREM TRUSTEES WESTREM REV LIVING TRUST 1006 E BALBOA BLVD NEWPORT BEACH CA 92661 (360) 683 3414 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF SHAKE INSTALL COMP Permit pin number 167676 Permit Fee 123 75 Plan Check Fee 00 Issue Date 6/15/10 Valuation 3956 Expiration Date 12/12/10 Qty Unit Charge Per Extension BASE FEE 95 75 2 00 14 0000 THOU BL -2001 25K (14 PER K) 28 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 123 75 123 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 128 25 128 25 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. T:FormsBuilding DivisionBuilding Permit Date 6/15/10 HATHAWAY CONSTRUCTION INC 624 E 7TH ST PORT ANGELES WA 98362 (360) 457 5627 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 4174815 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 IN CONSPICUOUS 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 AIR SEAL. Walls Ceiling FRAMING Joists Girders I 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 MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T Forms /Building Division /Building Permit Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 (FINAL Date Accepted by PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By ri-- -I BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant 2»)ST Property Owner G[J &St2C- Property Owner's Address Contractor 4A -r0-1. CeNs Th/C Contractor's Address License Expires PROJECT ADDRESS 3L Zb Aui'tio&' Parcel Number f7G 00 70 6 2 So Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof House garage other 'tear off re -roof lay over one layer Heat System Heat pump wood- burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures sq ft. Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type T Forms /Building Division /Building permit application E -mail Lot bl'.City Use `O at Received P er r i hu h at Approved (P.,, CIT Phone .7 562-7 Phone Phone 47- 5627 1-)4 TOTAL VALUATION Zoning 'Residential Multi- family Commercial Industrial per sq ft. of bedrooms of full baths of half baths 3 sz I have read and completed this 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 working on pro'cts. Date "I Print Name 3- A 144-65 Signature Christina Westrem 3626 Airport Rd Port Angeles, Wa, 98363 HATHAWAY CONSTRUCTION, INC 624 E 7TH St Port Angeles, Wa., 98362 Phone and Fax 360 -457 -5627 Lic HATHAC1022JG DETAILED DESCRIPTION Tear off and dispose of existing shake roofing material Reroof with Pabco Premier 30 year composition roofing Includes continuous ridge vent and needed flashing Option Snap Lock metal roofing Proposal HATHAWAY CONST, INC, is to furnish all the necessary materials and labor to install, construct and place the improvements according to the included detailed description and /or the attached proposal(s), as follows, Pabco composition roofing 3,652 00 Sales tax 306.76 Total 3,956 76 Snap lock roofing 7,364 00 Sales tax 618.57 Total $7,982 57 HATHAWAY CONST, INC 7 0V/;//0 DATE Q4. G.Alttir +Cl S.0111 fl` t. CONTRACT Upon acceptance of the above Proposal, the purchaser agrees that the Proposal becomes part of the binding contractual agreement between themselves and HATHAWAY CONSTRUCTION INC by affixing his/herftheir signature {s} below TIME LINE. To be determined METHOD OF PAYMENT The undersigned acknowledges receipt of a true copy of this contract and that he has read and knows the content thereof, and understands that no other agreement, verbal or otherwise is binding upon the parties thereto. unless included In this contract. If changes are requested, a signed Change Order must be in place before the changes will be initiated. This proposal void after 30 days. a tixofigtut PURCHASER PURCHASER ni V 4.i %Olr' ter co /4/7 rvo icy DATE DATE HATHAWAY CONST INC 13�- Cd DATE J 5-r(r 00(c) e 46a,4 b 7.- (2 -4- ;e q260( of I v) ?3- 0„; (4,-,47c Sfrongs -773 iv, ve_r-ka, 138A,ArderroA) 1C ,S lu r rr, ,te why' 1 1 /7/7 lAtt ~ ~ORT ~ ct~O~~~ ~ __ -=.:or ~ 'toit~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00000985 Date 10/29/03 3626 S AVIATION PL 06-30-07-1-1-0250-0000- SIGNS INDUSTRIAL HEAVY 400 Owner Contractor JOHN/EVELYN WESTREM, TRUSTEES WESTREM REV LIVING TRUST NEWPORT BEACH CA 92661 JACKSON SIGNS 472 MOUNT PLEASENT RD PORT ANGELES WA 98362 (360) 457-3703 Permit Additional desc Permit Fee Issue Date Expiration Date SIGN 32 SF WALL MOUNTED SIGN 85.00 Plan Check Fee 10/29/03 Valuation 4/27/04 .00 4"00 Qty Unit Charge Per 1.00 85.0000 PER S- SIGN WALL 25 SF+ Extension 85.00 W f' 19J ()' 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 \fi 1:> < -,. ~ ,r ...,. o ? *J r " Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pnvate and public Improvements. ThiS permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined thiS application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein r not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regul Ing c struction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of / t?-'2~-6 Date ~ T \PLANNlNG\FORMS\1102 15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIvIsIon) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING ESA- LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R W / PW/ CONSTRUCTION - R W ENGINEERlNG 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 I I!J '-29--6S I"'V BUILDING T \PLANNING\FORMS\1102 15 [412002] , of FUn'.... @ ~~ BUILDING PERMIT - PREAPPLICA TION fOR OmCIAL USE ONLY Dale Rec. ~-6.- 0 "5 Pmnll q 5 Pre-Ap Compldc? Date Appnn'eCI: Th~ BUI/ding Pm",t - Prtapplication must b~ rUled out compiLUiy. Please type or print In lnk. If you bave any qUeltlon., pleue call (360) 417 - 4 815 Phone: d (0 D - '-&3 -3'-(( Y LEGAL DESCRIPTION: Lot: Block: ?f6D.O-o (; ~ ~ (A ~ <. :l) -~ SIZFJV ALVA TION: SF.@S SF.@S SF.@S TOTAL VALUATION TYPEOFWORK: o ReSIdential 0 New Coostr. o Multl-fam1ly 0 Addition o Commerclal 0 Remodel o Repm o Rerooi o Move o Demohuon a Sign o Woodstove o Garage o Deck o /SF = S /SF = S /SF. = S S BRIEF DESCRIPTION OF TIlE P L.e ~ eU~~ LltoJ . .~ COMMERCIAURESIDENTIAL: Occupancy Group: No. of Stones: Lot SIZe: % Lot Coverage Existmg Lot Coverage: /sq. it. + Proposed Lot Coverage: ) Constnlcuon Type' % Notes: Zoning: Date: Other: /sq it = TOTAL LOT COVERAGE /sq.ft /9'~ PLAN (5, -3 kif( BLDG / DPW FIRE OlllER APPROVALS: ~~ \) ""~ C PLANNING USE ONLY: P~tsReqwrcd:/~o))..ol)g"l C~ J.A'l t" ,b-) W)cr Max. Height: acks: _ I Site Plan and Use Approved by: ESNWetland(s): 0 Yes 0 No SEPA Checkhslrequired? 0 Yes 0 No ---- ~ PREAPPUCAll0N SUBMITI' AI.: yo." tIpp6ctztion and site plan must be fdlBJ out compldeJv to be acupted for rnVw. The Building DIVl.StOD can proVIde you WIth more dcl.alled mfonnauon on the apphcauon and plan submittal rcquU"cmcms. BUILDING PERMIT APPUCATlON SUBMI1TAL: Your completed applicauon, stte plan (for additions) and budding constrUction plans are to be subauttcd to the Bwldmg Div1Slon. Any addition larger than 500 .q. (t. will need a Preapplication Review. Y ALUATION OF CONSTRUcnON: In all cases. a valuatJon amount must be entered by the applicant. This figure will be reviewed and may be revt.sed by the Building Diviston to comply WIth current fee schedules. Contact the Penrut Coordmator at 457-0411. e>..1. 125 for A~'lfance PLAN alECK FEE: Yoorplan chccl: fee IS due at the tune the bulldmg permIt appltcauon and constr'UcUon plans are submltted. All other pemut fees are due at the ume of pcmut tssuance EXPIRATION OF PLAN REVIEW: If no perrrut tS tssued Wlthm 180 days of the date of appltcalJon. thIS apphcatlOn will expIre b\' limitatlcm.. 1be Building Official can extend the llme for actlon by the appIJcant up to 180 days. on wntten request bv the appltcant (see SCClIOll 304(d) of the Unifonn Bwldmg Code, current cd1tJon). No appltcauon can be extended more than once ! hatby cn1ify that I havr rtad and examin~d this application and know the same to be troe and cornet. and I am authon:ed to app~v for thIS permit. I understand it is not the City's legal rtSpOTUlbility to dete177unt what pemllts are rtqulr~d: It remam.r the applicanl'., "'ponSlbllity 10 del.rm"'. wh., p.rm." ." "qu,red .nd I. .b..", ,uch. 4 ... _ APPhcant~.tC....~~ ",}- Date' It) --1- a3 I'&r<' 'f)AT,l\Wp\)''''''l'l'''I1<:''TlJ nAPP f"P'.( - PW.I 10' 01'rrv ..J<l~l 10", \:J7~ Ck 3()M s' (G N 5 r ~ 3f rA- 'I _)60 'I6'? If 1'1./1 / Ffrj., J61-i/J /)jEs1"R.Ef'i r X 111 r;T3 'I~'1!f1r ~ ~ o '" ~/ \ /' /' .,.J' /" ....- ,.<(J--- .// ~;~~~/ /'\ d- ./40~/ LE IJ/ ANCHD~ (// ~//S':.S3f;;"~ " \ /' /'.~Y ,- '\_,.,..~ ..,../ 3~' ~ i: ....- NE:I;I DERG~DUND ~,............ E:~ DF EASE::JIIENT 'L..J ....--- n ,? f / N ~ DMDUNT I T ~ D~HER I ~- t; / NE.... D/H SE:RVICE IJIRrj 15 o o I S. AIRPORT klA y o ~ D- z o ........ I-- <t: 1--1 > <( o Do. 'tel 11/2E./02 ~\ = 3636 AVIATION PLACE - NE~ STORAGE BUILDINGS ENGINEERING SPECIFIC A nON CITY OF PORT ANGELES LIGHT DEPARTMENT 10 39'dd SNOI1'd8IW3dlS3M~NHor 0t>5t>U%t>5 81:51 E00~!90!60 i (:\-- 1 +, 360-452-1326 Entrance Next Left 8'( l <t) ~ <t .... ~ . '/4f( 4X8 MDO Plywood Sign Biulding Mounted J. ~~- ~ Je<") Jackson's Signs 472 Mt. Pleasant Port Angeles. WA 98362 457-3703 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: cu ." Date Time Received by (phone. person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): ~lo'00 'S Au ICL-\-l D I" PL~ Phone No. Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date '3--/ f--(J{/ Time By Remarks: 4vG .~"fi-.-- A-P pVLZA~--I ~ /lJL~A-..- , J:ts.-p A fJ. .0 -}- n jJ P {J M ./ ( j ) r:tr1ll ) XUAD.-rA Jl J ~ jJ IILA r~ -:U.4 A 1.:). f- ~ lA).1 j 4- RESTO A TION EQUIRED...... YES...j NO SURFACE RESTORATION: _ /' SURFACE TYPE: 0 Unimproved o Gravel .J,;d1\sphalt 0 PCC , o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # C ~....wMeLE:r-E-3...9.L6".3--7J o INCOMPLETE /r; ,rJreel- 3~/i-o~n::::: (Continue on rev;':se side if necessary) , . STREET SUPERINTENDENT (DATE) f i";~ '-,', I :'_';~ 1.\"'1~ t;i"i~:; r'If~ k'1:<;,.:: 1:'~~'~':'H:"~}l t:;}~7~' ~f~~ij r - - -~ .... .t"-'-~. t I:;' :~:;:" ~1;~~1 '.',<;1' \ "', IV"'''] to"". .:;;._.:~5~i~~i~, f. "."" .,.,,1 l~' '~'f~;:l'~t 1......:;.~:.:~,~~1 "-" _.j';;'~ -'\':~-'"__}'J'i ! Jr:...~1:;i I ":'::.:;'- .:~t.},~j !.,;~';:';C: ,'::';:1 I .."".:..,..,.,.,J. .~.~"<~..~. :'~?~l L ,c:, ~~;~:;j~J ,~.:.~~ : -~" .: ~::f~;'.~l :;';;'.) ." <~~ .~'.'{:~ ~~1 I : ,'.~-.' I. ,. I. i "~ " ,"J i.'.:\'t1 .'i,Ut~r'" ". -( '~",?-));'f'1 \,;' ~- : '; . ,>,'-"-.t>;,~ i~'~,'~/.~,~':'i;~:~i'J . ~i." '0' n."~Ntr'E,.:'1L1 E'I'8' ~ J-l'-.l ~ I!VI ,',.1) i ,-' i - 'j --.. ..., ........ . At//~ WASH I N G TON, U. S. A. Public Works & Utilities Department July 31, 2006 John Westrem 459 Dawley Rd Sequim, WA 98382 RE: Water service 3626 S. Aviation Place Dear Mr. Westrem This letter is in response to your recent phone call regarding water service at the above referenced location. . During the construction of the' Edgewood Drive / Airport Road realignment, a new 6 inch ductile iron water main was extended from the north side of Lauridsen Blvd to the south approximately 400 feet. The water service for your properties is connected to this 6 inch water main. It appears that during the construction of this line one master meter was installed adjacent to the water main on the north side of the cui de sac. , [ Due to the recent water service line leak and subsequent repairs (on the west side of the cui de sac) it was brought to our attention that tlie water meter serving your commercial complex also serves. additional single family residences. As a result ofthe service line leak it was discovered that the residence at 1921 W. Duval'Place was also receiving water from the same service line that serves your commercial'complex. The Finance Department has since set up the utility billing for reading both water meters, subtracting the consumption of 1921 W. Duval Place from the 3626 S. Aviation Place reading. You recently received a refund for the past over charges. At this time the City's water main only extends south to the existing fire hydrant on Aviation Place. Since all the properties are currently under one ownership and are served by one master meter, one option is to leave the master meter at it's present location and continue to read each meter accordingly until such time that the properties are sold and are under separate or different ownerships. When the property is sold or a change of ownership takes place, Public Works & Utilities will require permit issuance and payment of the as'sociated fees to separate service lines and meters be billed to the permittee. Phone.: 360-417.4805/ Fax: 360.417-4542 Websile: www.cityofpa.us/ Email: publicworks@cityofpa.us 321 East Fifth Street. P,O. Box 1150 (Port Angeles, WA 98362.0217 , Another option would be for the City to install 3 individual water services and meters now at your cost. Installation would be in the area of the existing fire hydrant on the south side of the cui de sac. Upon placement of the water services and meters, you would then be responsible for the installation of each service line from the meters to the existing buildings. All meter boxes would be set with traffic bearing lids. Until such time that there is further development in the area and a need for the extension of the 6 inch water main, all meters would be placed in the area of the existing fire hydrant. For additional details, on the proposed options please contact Ms. TreniaFunston at 417-48070r e-mail attfunston@cityofpa.us. Sincerely, ~~. Glenn A. Cutler Director of Public Works and Utilities cc: Trenia Funston Gary Kenworthy Bill Beverford Rick HOSleller YWt Nt<~ ./~- t-'2A/l~, /Yt~~ 0J-c/J. Ir~ C--rvr;J ~ {C~ ~.-A~ (7'tz.- ac. ';r 12d t'vI.M*J-. d.(J//'.."..~ 3 '1-.v. ~ 1/ (/ o''S c-c:~' I' J-- /~ ~y - ~~... ~ ~"- <:)'1"- .. I / /rJ'.J/dc. ~ A ~ ~/4 Sirr- \ I :r;~\~ /' }v~" ;;:10'\.....' /f-,~ ~~2--/J oy ,/ , .A' . I Trenia Funston - Re: Fwd: Subtraction meter for John Westrem & Henry Jernigan Page 11 From: To: Subject: Trenia Funston Lisa Hainstock Re: Fwd: Subtraction meter for John Westrem & Henry Jernigan You sure are pushy. No I haven't forgotten, maybe put it on one of my back burners. I need to drive out to the site and see what's there. Maybe if it's not raining tomorrow I'll get out. If it is for a business then it probably should be a commercial account, but if it's just for outside water spickets then residential. To be continued. >>> Lisa Hainstock 03/06/06 04:44PM >>> Trenia- I haven't received a response for this e-mail yeLDid you forget? Lisa >>> Lisa Hainstock 02/22/06 04:35PM >>> Trenia- 1 tested the subtraction meter for the above mentioned customers. It looks like it works and my understanding is that it should be set-up as follows... John Westrem's meter at 3626 S Aviation PI is the master location. We want to subtract the consumption from Henry Jernigan at 1921 W Duval PI from John Westrem's meter's consumption at 3626 S Aviation PI. For example-John's meter may register 2000cf and Henry's may register 500cf. The result will be John's meter shows a total consumption of 2000cf but he is only billed for 1500cf. Henry's meter's consumption will show 500cf and that is the amount he will be billed for. Lastly, I noticed that Johns Westrem's account is set up as Residential...if we complete this change to a subtraction meter shouldn't we be changing his account to Commercial Rate. I believe that the shop (which is used for a commercial business) receives water from that meter, but what about the house to the south of that shop? Please let me know what you would like us to do & when we want us to complete this change. I will not set-up their accounts as subtraction meters until notified by you. Thanks, Lisa x4635 31; tll (J1 ti%JllJU 3/J 70 A~ ?2& VJ ~ru j1; () g ;jU I~ iU ()) a}-/ /lr,) 5 5 (, - ~ -ri ;-,v p tt / Vf t/ A!) (tl/-/'" If ~ \J'- 1Jf) I ::'S {'(\ ~SJ ~~ 1 ~ -. Home I rlit,Jt'Jlrd<t"-Jj ~lI:Jr'lf\ Meter Service Information fm<ll! ' fl".l;, Location 10: C1.I5tomerlD: 102810 3B'26 S AVlATIQN PL 60307 VYESTREM. JOHN Cycle/route: 16 89 Service code/Sequence: WA 000 WATER Sequence status: Active Meter number. W42617494 Installation date: 4n6l91 Uu of meter: Meter reading sequence: 00025 Meter location: Specific meter location: Ha.zard code: Assigned read time: 00 Sunquent meter: N (}0300 7 J 10 Zs:-Q 4SQ D ~RL A./L~ QS397 - . .' " " II ~an~el ... .... customer/Location Consumption History Inquiry CustomerlD: Location 10: 60307 WESTREt.1, JOHN 102B10 3626 S AVIATION PL 00 .00 Cycle/route: Initiation date; Termination date: 16 eg 10/31191 0100100 Amount due: Pending: Customertlocatlon status: A Customer status: IACl,',/!;: .::l .00 HOIu:; fb,,,';'llndnl', $ui"fPJit Lmdl i I tJdv 658260.00 656977.00 655212.00 ; .~ , ? . Meter Service Information Location 10: 10280a 1921 W DW,AL PL Customer 10: 60309 JERNIGAN. HENRY Cycle/route: 16 89 Service code/Sequence: WA 000 WATER Sequence sutus: ActivE Meter number. W14D55B43 Installation date: 1116101 Itom~ I Elll<llll NcwWinduw! "u;:piHl Hulp Uu of meter: Meter reading ..quence: 00075 Meter location: Specific meter location: Huard code: Assigned read time: 00 Suuquent meter. N \ Jl I if i \)\l;;r . ( It ~IJ ~l' ~ / ~ J / $ . , " " " ~ 't ~ ,1" , P /C ' I net~-r C9nttnenCS. ~ HSE-GRM ROOF/ME OF ME CMR lS'FRM CURB ~ ~ T T " .: OK. . _ t1 ". ~ II . <';aiicel " . . . . . Customer/Location Consumption History Inquiry Customer 10: location 10: 6D309 JERNIGAN, HENRY 1028081921 WDWAlPL l10mc j lipy( Yiindcw i SUYlfdt Emalli HdF Cvclefroute: Initiation date: T ennlnatlon date: Customer status: 16 89 4/30101 D/OOIDO Amount due: 00 Pending: 00 Customer/location status: A WA WA "" WA .00 201211'1.00 200562.00 . .. ~.~.?_~~?_:.~9F i"987'Z5.ilij-c 1974S0,m],\: ; UJ-?, IN SECTIONS 7 & 8, TOWNSHIP 30 NORTH, RANGE 6 WEST, W.u C/ALLAM COUNTY, WASHINGTON CENTERLINE MONUMENT A T/ON FOR LAURIDSEN BL VD./EDGEWOOD DRIVE/AIRPORT ROAD REALIGNMENT PROJECT NO. 97-07 ON FILE WITH THE CITY OF PORT ANGELES S'JFNt Y ,I-OH r,,;: r,'1-; l~L~ 11 lilliIIlilll'!liil,llllillllllll'lml'!~11111 20021084824 .J.EE:!JQ' -r ~;:~;~;, C"~~~~~~/)~c;~~~C~:~'~~_E;'~~ ~E1r2-S~~~V~~Nc:;,~~..'V O;'f,':Rt rt "o~ O!STVRB"'''- ,; MONUMENT WeLL . DENorE'5 Sfr ,. G4L'.IANIZtD iRJ" o'PE FUfD W,T,< CO....CRE.rt <<:.IH BRASS Pi:V ;'1 A MONJ'.IniT WE: i .. DOIOTES SET FE"'O MDNv'MP;r W,;H r BRASS S<.P :N A J,lONUMF/yT WELL C OO,OTES seT PIK .\lAIL Do,'orrs RiGHr O~ WAY ,."lvF G--- 588'59~TE 149,98' .. .. S89~29'4J"[" _ \ ~~_ 288./4 CO"'5~RUCT[D COJ[PU,\'[ ~.c",'r W' 5 GU,,:LCT6 SURVEYOR'S CFRT/FICA TF: ""':5 MAP COR,RFCrcf .,?FPRF,,>FN'S A ,;jRI{Y I#DE BY MF OR J"ICFR '.<Y 0 R[enO\, ,N CO,<FQRWWC[ WiTH rl-<C REOV.'RD,/[NTS OF THE "jR',I'Y RE[.'J.';YJ.'!v(; ACT~, TI>jE RtOUES' 0' DE, H'--'P. ,Ne ;,Iv Ai-'I{IL 2002 .I:1I2ICS.; f r\ r {"f lJV G. . t"'. ., , 5:8 ~~ ',\ ";'-' r":J' ~J v ~a~ ",C;G .,[S~ _l',.' ;;:~~ -."W.- --- SCA.t 'N fa' / -- / . / / / / ... ... ... ......-:: ~'O"':/ ___ ~,,1)S~';,qA. 1>;,,79q90R~ ,p.'Y gGs.-- / , THIS SUI<,,1J WAS "'ERrQI<VtiJ I3r r!~W ,,?,.VU?St 4Ii;JI>jODS :..ISING A ",;:'0."0 .'(H-U:;"~ c;r.'>-J'J 1,~rA, ~;A',U," ,<1;:_ YU;. )N'i- K~8u.:f(-:~~~ L.5. NUMBE.R '222J DATE 5' jOg/ z.ooL. 2 '-OR SeCTlCN SUBD','Si'),\' QUA. SLr ,1:1!. J9 OF 'iURvrr>" PAG( 6J, R,-COHes Of r;i..A~t..A'.1 COUNTY. W;lSHIII'G1aN - MATC"L,N!: 5HFr;? / / / / ... ... ... AUDITOR'S CERTlFlCA fE: &",Ji?7f RE[;O"<G TI-/15~_ ,JAY ')F -ilIa! _ _ _.__ l'0_'2. Af . . A-Il.. ..\' vqL..Ll9-o' S~"i'''E''S. "'ACt ,,'NUll AuQ'rCfi'S I,~/ NUMBtR ~flXYEilY_ . '?CCOCuS Of CLAu.AM::O"Iyr", WASHI"'G~()". H "1-/( .'<'.fJ'-'!:.': 0' Kf.Wv[T...;l r;i..AR" /;iIf,...;~~ CL4I.LA"'---Cb""V'TY CiEPr.f'Y A,;D:TQR ~W'-'-T 1 or 2 =Fr-' _ 4-~ 7 &: e:JON-:'6W; V~'- _L(_~__",_~:>(p_____ DEL HUR, IN SECTIONS 7 & 8, TOWNSHIP 30 NORTH, RANGE 6 WEST, w.M. CLALLAM COUNTY, WASHINGTON CENTERLINE MONUMENTATlON FOR LAURIOSEN BLVO./EOGEWOOO ORIVE/AIRPORT ROAO REALIGNMENT PR(),JECT NO. 91-07 ON FiLE WITH THE CITY OF PORT ANGELES , ~ Sl;-- N SET DUAIL ",4" I ~ ~ .oI'!YCe,!SSoUNQ.jR ~w ~ ~ ~ (Jift :~;R7~Rr ~ L:0954 ___ "'1,'ON - I:J. -22/0'16" --- ___ __ -- -- ~ 1?-7999<f --- ___ ./' - -- _ - 52-, \- -::.!!..799"J4 -__:::: --- --- ./' 4____~-6."'6T08~ ___ -&______ ___ ~99.~ __ - "'""- tAlj,---.._ /' fI.~ 1iP__- /" --- 'l'IOSeN___ ./ .~o/ sttl B\..__ ___ ___ 6'!~ -- /' A~'<)~A9"J-0~:-- / ---___ /,Z",/ I( ~ / 9<)/ \. ,/ / -- "/ GOV', Lor 4 / (.1r /' I // /' // \ 1 /,"/ ,,~II /:/ / GOV'TWT6 i~ I ,i.' / I , I // 'k / ". I In I \ / y:l' \ 1818 1 / ,"'''-" "I" I / .-0".', --- _S7J' "--- J _tt.,C/,!-fO --~:.r6:t I I I 7"..... JOJ.Ii:J~ ~. --- ......... . ~''''- --~~.,_ '" J ~, // ~~""",, "" I 1',1 . " '-..." ) "" ";J~~ ~I I ,,~~~CC-. ,; 1 '\ ~~<;br' ~I J \ ,~, I \' i JI SURVEY FOR.. MATCHLlNt:smt:T 1 1/16 CORNU? SET A )-1/2" BR!4SS CAP IN CONCROE IN i'I MaWM[HTWflL sr~~~ ~ 1/16 S7 58 2001 LS /222J.. ~~~ L.5. NUMBER 1222:5 DATE: G/o61u:JOL + + 'o._Q~ ~OOl INC. .. ~g ~3 ~~ ~~ ~~~ o,~<:> "'11:;;<;: ...;2a\ ~~~ ~ ~ ~ ?O~!:.:""O'''''2!" ------ Vcrcoc _ ___ ___ itN1f..iiuN;?- ~ ..--.-.-.,.------, I ,.~ I 100 ~,) C 100 SCALE IN FEET -, ~ ~ -, ~ ~ ~ '------- ~ ~ ------- ~ ~ -~--~~-- ~ ~ ~S02'" RESET CLOSING~~ IV '" -----/"J'J2 ~~5::0ffottL7C ~ t <l9sf,!.:if' NUMBER 06300717 -:/_' _____ ", PER VOL. 39 OF \~ ___~ SURVEYS. PC. 63. ~'_ - --- -)'" ORIGINAL HEY C MON-JI4,600' & NCW eu:v c MON~JI4,970' " o o. : I \~ ~;;N;c<;; ~ . "I " ~ .llffi::&' ~ T OENOTE:S CLOSING SEcnON CORNER, SET 3 vr ALUM.'IIUM CAP IIV COIiCPFT~ I .:'/~~5 OF ~~~~;f~u~L;'~,':~~~~~:T'<<-::if."iNC D~"T. 5UR'fCf CONTROL. DO @'M [)[TAIL "8" ~ DENOTES SET r GALVANIZED /RON PIPE rlLLED WITH CONCRITe . WITH BRASS PIN IN A MONUMENT WELL SEE DGAIL "EI" DENOTES SeT FEND MONUMENT N1TH A ,," BR;lSS CAP IN A .. MONUMENT W!U. DENOTES RIGHT OF WAf liNE. =. I. THIS SURVEY W;lS PERFORMED Bf FIELD TRAVERSE MaHOOS USiNG A J SECOND TOPCON G1$-J13 ;oTIoI, STAnDI{ AND STEfL TAPE, 2. FOR SECnoN SUBDIVISION DATA, SEE VOL J9 OF SUPVEYS, "'ACE 6J. .RECORDS OF ClAL/.A1.f COUNTY. WASHiNG iON. SHfTT 2 OF 2 OUART~R CORNER. FOUND A J-J/4" OWIETER BRASS CAP 11111-/ "cLA-LLA-M COUNTY" CAST IN TOP AND STAMPED "7"'8~ MOMUMENr IS O,J' arrow ROAD SURFACE GEOMPT NO. 06J0074 I Emj (161161'-2".' "n, ~.. >,., u",,,... s........."" (_'.'-_[b' LANOSURItEYlNG&t.tAPPI:-lG D[\I[lOPI,I[NT CONSUlnNG CONSTRUCTION ldANAGEI,IE~T ...",-,.,," 7 & a(JON-05W) "" 1'1 PC. SIP CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . . REQUEST: DatB 1- -.It;. - ff Time. 'i'}oO frt."I RElCBived by f:'ti!i4J.Jk.. (....). (phone. person) Locathm of WOlk to be inspected J.}, w, C~J.)t::""- of,'C .i Blvd. , Name of persOn raQuestlnglnspection B. Z)EU~fOW Addross of person raQ'u8stlng InspectionJJ"+..O ~r 73"((;<:11';). Y~b Phone No. ft. r" , Typa of Inspection (circle appropriateoneJ: Permit No. Sewer Found,atlon Framing Chimney Plumbing Final Sew8rSxcav. Other ~.rI'~-:;";1pa b'-V, 2.50/ INSPECTION NOTES: Inspected: Date J-;;~ -9)' Time .3' 30 pM By B. &l./e. "jI',r) Remar~s: k.c A..~.-d 4." c..c, Lu 0-~'1' I iJ I'.),,, " f C"LL f - ,. iJ .::J. j. U AI v~- , I " I I' ~ ' 1_ j <lOti '"' \JQ~, "'" ---c::... l ~ !:I---~,-",,~T ,2 ...-...~-p . RESTOAATION REQUiRED........ YES NOv ~ i;;:1Jt~....~... ~\'<-{ f\'~ ~. fl L / ~.r, . III " 11A-(.. . 2.'1'1' 1.-S<f' - ~ BI . SURFACE RESTORATION : SURFACE TYPE: 0 Unimproved DGra-vel o Repaired by City o Repaired by Pl.lrmittllll D No Damuge Found . o Asphalt OPec Work Order -# 394- G? COMPLETE o INCOMPI.fTE o Other iCantfnue on reve"li aide II nllcosaaryl sTFleE't SUPERINTENDENT (DATEj ~, , ow-Z~-/~ -/f2.0 CITY OF PORT ANGELES / DEPARTMENT OF PUBLIC WORKS / ~ tq V . . . . . . . . . . . INSPECTION REPORT . .~G~f'J~ED. . REQUEST: D~te~ Date 9 -I ~ - c> I Time Received by Initials ~none, person) A-i)r {J 6 r+ -0),-, ,.V~ '--r-- . \ I Name of person requesting inspection' I . W 1 C oy Address of person requesting inspection I 1+1t is- (!; Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other iA..)a.. +-er ()-.Jc7---y Location of Work to bEl inspected INSPECTION NOTES: RESTORATION REQUIRED . . . . " YES Time By J:-/J S +- ^-II <Xx <6 X t" H JL frh/l 6 (l Vet I (/~ p-<o/ '%, 0-:3 .h -e.x:. +- /) JJ A, \r ,P ^ v-+ (' c> v-n.-e 1--- If c) ^-- d ' /1-1/J n m -0 td ~ NOY W ~ f1+ t ~ bli V6-IV.t o-cX6SS -r-e..e <b' 1ft /1vj1'J , \-<> Y'!,<,oOvJ I \. ~ ~ ~ "~ v ~ tt j~} ~~ ~tV Inspected: Date Remarks: L5 I SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved o Gravel o Repaired by City o Repaired by Permittee o No Damage Found o Asphalt 0 PCC J Work Order # ~MPLETE ' o INCOMPLETE o Other 7Lo }', . lContinue on reverse side if necessary) C::TD~CT <::IIDI:'DINTCl\lnCNT fn6.T1=\ 'j' I I , " : ), ~ , ,. COST AN^LYSIS , , Ii:: I ~ I 1',1 q :2- 0 , WORK O~DER NO, I ' I CITY OF PORT ANGELES LABOR .)~..,l-';3b PERMIT ~O. , PUBLIC WORKS DEPAR~MENT 1,'1 ,9-... c;-/ Cj I EQUIPMENT IDS:. 1~ "I' , ACCOUN'~l': , , WORK ORDER REPORT ::z I MATERIALS (. ~.;,. +e ( :3 00 , 0- (;)eL +-e DATE " TAX O() r I ;,r I !3,r~!' DIVISION : ~i j TOTAL $~. , 0 10EPOSIT PAID AMT. ,1: ~ ~iU Pair 'fnCl\~'d 11 44 CHARGE TO "'" 0 , /=?4Cf 'BALANCE DUE $: ?l-lfA :~ [3 "i ADDR ~SS 0 REFUND DUE ~i: DESCRIPTION' : , , - LOCATION' /11 ''1P6 r+ Or /(./~ <6 x1~-6 ( ( d-e ...f! 5-t+ E' i (JJtJ...Y i' I I , I/a} CI'Z , Ilft'i"j?or-r- Corner ! SPECIAL INSTRUCirlONS , i-- i" fc;r I i'l , ~9\'n -e;<j, , , " labor I ! , . 'I, I TOT.~ Slz~!1 HOURLY 'UT[ , DATE I i :::'; : I HOURS STOCK o. AMOUNT Ale I 1 .' EMPLOYEE' '1 ! , N ,',,, oIST. ! I. QUANT. 0'1 No. UNIT PJtICf c;- /, ) " I Co )(' : 1 I ,Ii , " . , s , H"J{p, IAz. "to , , 1 ;1 I r I E ri a ;"';01 hi " I. , , .5 -"'2.-;.0 11.3.5'0 I"'; I , f, PI'> ".;-I-.ie t-I T I I , ,5 X''''r ,-..,2.'65" I ,,:.,1 , , 7J 7 Un'/Ard .W " , i ' ., " CJi 6- 011 I/-e. , I I," , .s , 1'/.31 FI.(..s~- , I '. I <II! I , " , , !: I~ ~. '> ':'i ::!; ), , , !i J " r'!1 , , , I I!:;I' i"l:' ,I '!'!I ; ,:, li-" , , 1,1' ,', , : " , , : , ' , :! ! , I equipment I :~ . ,~ilill:~iililil:i!'iliiI1l11'~llJ'1iii ,.:.',:' "<;'J;~ljli'I' No nF~'CR'PTlnN ".' /7 tI ;).... I :: , i , .s '1.~ ~7.~ , , " : '7 t:;i , ' :' ,'I' . '7 r; h i . , '7 5i' 2- i I , , , ., t.;Cf 1 , , I:: /, 2/1 I , I " , , " S i /'I.'J.\- 1/.'-5- ------ I -I u. o -I .... w w J: In .~ Account No; Service Location Bill Date; Due Date; Last Payment Date; Last Payment Amount: Adjustments: Previous Balance: ~ ~~. -~~--;':'~.'. D~ _____ w=l:V ~ -- -,...... t r;~,\ f ~ City of Port Angeles 321 E. Fifth Street. P.O. Box 1150 Port Angeles, WA 98362 (360) 457-0411 www.cityofpa.us SERVICE WA READING DATES USAGE WATER BASE CHARGE WATER CONSUMPTION WATER BASE CHARGE WATER CONSUMPTION TOTAL WATER 90 GALLON CONTAINER 90 GALLON CONTAINER TOTAL SOLID WASTE MEDIC I SW UTI L!TY TAX METER READINGS CURRENT PREVIOUS WI40SS84 203S36 203017 i Service Pericx:l I FROM 12119/0S TO 1117/06 CF 519 Service 60309-102808 1921 W DUVAL PL 1/26/06 2/27/06 1/04/06 48.02 .00 .00 USAGE PREVIOUS YEAR 1/05 538.00, Tota/$ 23.36 12119/0S 1/01/06 8 .63 1/01/06 1/17/06 II .16 19.79 1/01/06 1/17/06 3 .74 3.74 1 . S8 I. S8 AVERAGE COST PER DAY I. 60 CURRENT CHARGES '48.47 BALANCE FORWARD .00 TOTAL AMOUNT DUE 48.47 Pay 2127/06 TOTAL DUEIIIH::>~---$48.4i--- i I I I I I I L-_____ _ 48.95 After _._..._-------~------~ It is time to renew your Senior and Low Income Disabled Discount. You may pick up an application at City Hall or print a copy from the city's web site at WoNW_cityofpa.us *UCharges reflect the Water, Sewer, and Solid Waste rate changes effective January 1, 2006*u DATABAR-FORM #7024 - - - -PLE-ASE DETACH BOTTOM pORTION ANO-RETU-RN - - - - - - -~!l}!I-;I-;''''I;'~:-.= - - - - - 8llJ;iiJ~I(jt~I~:;':- ---") 45 . I I www.cityofpa.us CREDIT CARD I 2/27/06 . $48.47 I ~'. ~~~~~N: I. ,.,.;I'II<1.il,.IO/.\/[.)1I' ~<=- City of Port Angeles BACK 1921 W DUVAL PL rl ~ 321 E. Fifth Street 0 P.O. Box 1150 ~i' !"""'"I1.ml"'.I'I.:l. ~ L~""; Po,' Angeles. WA 98362 Stmt of 60309-102808 .1...... '" ,. 'c~'. ~--,,- (360) 457.0411 Page of ~ Ilmlulllilllullllill~~~lr~ili~1 111111111 nfullllmllnffiliij{j li[II",I"ijliml~11i11 ulfln~uillm~11111111111I111I1 Make Check Payable To: ~. ADDRESS SERVICE REQUESTED CITY OF PORT ANGELES ./J 5-DIG!T SCH 98362 PO BOX 1150 "'- PORT ANGELES WA 98362-0217 11,1"1"1..,11"11,,,,1,111,,,,,,11,.1,11,,1..,11..1,1..,11,1 HENRY JERNIGAN PO BOX 735 PORT ANGELES. WA 98362-0128 11,1111"1".111111111111111'111.1,1'1.1111111.1.1.11,,.1..,11